Kristin Lee Bosiljevac, M.D.
Individual provider Active NPI Sports Medicine (Family Medicine) Physician · Lebo, KS
NPI 1689017485 · NPPES record last updated Oct 17, 2018
Key facts
- NPI
- 1689017485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Sports Medicine (Family Medicine) Physician 207QS0010X
- License
- 04-39259 (KS)
- Practice address
- 118 W 4TH St
Lebo, KS 66856-9437 - Phone
- (620) 256-6346
- NPI assigned
- Apr 10, 2013
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Priority Care, LLC | Past | Accepting new patients | |
| Carespot Professional Services LLC | Past |
Accepting new patients |
Interoperability endpoints
- kduncan80538@stormontvaildirect.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2013016985 | MO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 04-39259 | KS | Yes |
Addresses
Primary practice location
118 W 4TH St
Lebo, KS 66856-9437
Mailing address
PO Box 507
Lebo, KS 66856-0507
Phone (620) 256-6346
Other names
- Kristin Lee Duncan
Other providers in Lebo, KS
- Allegre Rexall Drugs Inc.
- Peter C Allegre
- Auburn Pharmacy, Inc.
- Auburn Pharmacy, Inc.
- Kim Genelle Davis
- Debbie Jo Elder
- Lisa L. Grey
- Ashtyn Howard
- Teresa Sue Kirby
All providers in Lebo, KS · Sports Medicine (Family Medicine) Physician in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 17, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.