person
Mr. Bobby D. Boland, AFNP
Family Nurse Practitioner in Kennett, Missouri
NPI 1699917559

Bobby D. Boland is a Family Nurse Practitioner based in Kennett, MO and is specialized in Family. Bobby D. Boland practices in Kennett, MO and has the professional credentials of AFNP. The NPI Number for Bobby D. Boland is 1699917559 and holds a License No. 152914 (Missouri).

The current practice location address for Bobby D. Boland is 402 Recovery Rd, Kennett, MO and can be reached out via phone at 573-888-0274 and via fax at 573-888-1225.

Location: 402 Recovery Rd, Kennett, MO, 63857-0747
person
Provider Profile Details
NPI Number
1699917559
Provider Name
Bobby D. Boland
Credential
AFNP
Provider Entity Type
Individual
Gender
Male
Address
402 Recovery Rd, Kennett, MO, 63857-0747
Phone Number
573-888-0274
Fax Number
573-888-1225
Provider Enumeration Date
03/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
152914 01 MO STATE LISCENCE
institution
Provider Business Practice Location Address Details
Address
402 Recovery Rd
City
State
Zip
63857-3235
Phone Number
573-888-0274
Fax Number
573-888-1225
person
Provider Business Mailing Address Details
Address
402 Recovery Rd
City
State
Zip
63857-3235
Phone Number
573-888-0274
Fax Number
573-888-1225
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
152914 (Missouri)
Definition
Definition to come...
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