Kellie L Boettger, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

20018 Issued in IA

Practice address

1426 Broadway
Denison, IA 51442-2053

Phone

(712) 263-6161

NPI assigned

Apr 13, 2007

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

Credentials

Doctor of Pharmacy

State licenses

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

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982829222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1461 230TH ST",
            "city": "SCHLESWIG",
            "state": "IA",
            "postal_code": "514617515",
            "telephone_number": "712-676-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 BROADWAY",
            "city": "DENISON",
            "state": "IA",
            "postal_code": "514422053",
            "telephone_number": "712-263-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOETTGER",
        "first_name": "KELLIE",
        "middle_name": "L",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "IA",
            "license": "20018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donald Anderson
• Robert J. Ballard, CRNA
• Abigail Behrens, NP-C
• Kathy Berens-Brownmiller, PAC
• Madilyn Kaysha Blunk, D.C.
• Carolyn E Boose, L.M.S.W.
• Scott A Bowker, OD
• Broadway Dental LLC
• Kyle Brandon Brown, MD
• Steven K Brownmiller, OD

• Pharmacist in Denison, IA
• Providers in Denison, IA by specialty
• Pharmacist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.