KELLIE L BOEGGEMAN

MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE PA

Dr KELLIE L BOEGGEMAN is a female medical professional, specializing in Nurse Practitioner. She graduated in 2007.

Contact

MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE PA

9623 REDSTONE DR
SUITE 300
INDIAN LAND
SC
297075407

Tel: 8036150880

KELLIE L BOEGGEMAN Information

Npi 1669662086
Pac Id 1254419146
Professional Enrollment Id I20081120000854
Last Name BOEGGEMAN
First Name KELLIE
Middle Name L
Suffix
Gender F
Credential
Medical School Name OTHER
Graduation Year 2007
Primary Specialty NURSE PRACTITIONER
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name MED FIRST IMMEDIATE CARE AND FAMILY PRACTICE PA
Group Practice Pac Id 0446332720
Number Of Group Practice Members 59
Line 1 Street Address 9623 REDSTONE DR
Line 2 Street Address SUITE 300
Marker Of Address Line 2 Suppression
City INDIAN LAND
State SC
Zip Code 297075407
Phone Number 8036150880
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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