Kimberly Boler, LPN, WIG MAKER

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

138614 Issued in OH

Practice address

8139 Old Troy Pike
Suite #1007
Huber Heights, OH 45424

Phone

(937) 663-2971

NPI assigned

Jan 10, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1641772800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641772800000",
    "number": "1932860103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2341 EQUESTRIAN DR APT 1A",
            "city": "MIAMISBURG",
            "state": "OH",
            "postal_code": "453425629",
            "telephone_number": "937-663-2971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8139 OLD TROY PIKE",
            "address_2": "SUITE #1007",
            "city": "HUBER HEIGHTS",
            "state": "OH",
            "postal_code": "45424",
            "telephone_number": "937-663-2971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLER",
        "first_name": "KIMBERLY",
        "credential": "LPN, WIG MAKER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-10",
        "last_updated": "2022-01-10",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "OH",
            "license": "138614",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hairgaluxe.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "address_1": "8139 Old Troy Pike",
            "address_2": "Suite #1007",
            "city": "Huber Heights",
            "state": "OH",
            "country_code": "US",
            "postal_code": "45424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Bio-Medical Applications of Ohio, Inc.
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• Iris Marie Blanchard, LPC LICDC
• Dyann Sue Bolen
• Timothy Allen Bolen
• La'Donna Marie Bonner
• Ruth Elaine Booker
• Hannah Marie Bornhorst, RBT
• Nicole Bosworth
• Anna Bowers

• Durable Medical Equipment & Medical Supplies in Huber Heights, OH
• Providers in Huber Heights, OH by specialty
• Durable Medical Equipment & Medical Supplies in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.