Kimberly Marie Boggs
Technician, Personal Care Attendant in Madison, WV. Individual provider (NPI-1).
NPI number1831801034
StatusActive
Last updated in NPPESDec 20, 2022
Details
- NPI
- 1831801034
- Entity type
- Individual (NPI-1)
- Name
- Kimberly Marie Boggs
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 19, 2022
- Certification date
- Dec 20, 2022
- Last updated
- Dec 20, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
51 Spring StMadison, WV 25130
Phone 304-601-3110
Mailing address
51 Spring StMadison, WV 25130
Phone 304-601-3110
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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