Kiley Carr Boeding

Primary specialty

Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistTaxonomy code 1835P0018X

License

23282 Issued in IA

Practice address

1540 Franklin St
North Liberty, IA 52317-4888

Phone

(319) 240-6057

NPI assigned

Apr 20, 2020

Last updated

Jun 7, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717718400000",
    "number": "1922628007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 DAKOTA AVE",
            "city": "TIFFIN",
            "state": "IA",
            "postal_code": "523404761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 FRANKLIN ST",
            "city": "NORTH LIBERTY",
            "state": "IA",
            "postal_code": "523174888",
            "telephone_number": "319-240-6057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOEDING",
        "first_name": "KILEY",
        "middle_name": "CARR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-20",
        "last_updated": "2024-06-07",
        "certification_date": "2024-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1835P0018X",
            "taxonomy_group": "",
            "desc": "Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist",
            "state": "IA",
            "license": "23282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Biangmano, LMHC
• Jennifer R. Bigalke
• Raelee Lynn Bird, ARNP
• Blueprint Pediatric Therapy, PLC
• Eric Bockelman
• Anna Boes
• Alicia Bogard, LMT
• Anna Boge, L.M.T., M.M.P.
• Miranda Sue Bohlken, LISW
• Justin Bonzato, DPT

• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in North Liberty, IA
• Providers in North Liberty, IA by specialty
• Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.