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Kimberly Wynne Boshart, MD
Student in an Organized Health Care Education/Training Program in Lubbock, Texas
NPI 1972731446

Kimberly Wynne Boshart is a Student in an Organized Health Care Education/Training Program based in Lubbock, TX. Kimberly Wynne Boshart practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Kimberly Wynne Boshart is 1972731446 and holds a License No. BP1-0035690 (Texas).

The current practice location address for Kimberly Wynne Boshart is 3601 4Th St, Lubbock, TX and can be reached out via phone at 806-743-3155 and via fax at 806-743-3143.

Location: 3601 4Th St, Lubbock, TX, 79430
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1972731446
Provider Name
Kimberly Wynne Boshart
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
3601 4Th St, Lubbock, TX, 79430
Phone Number
806-743-3155
Fax Number
806-743-3143
Provider Enumeration Date
06/23/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3601 4Th St
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-3155
Fax Number
806-743-3143
person
Provider Business Mailing Address Details
Address
3601 4Th St
City
Lubbock
State
Texas
Zip
79430-0002
Phone Number
806-743-3155
Fax Number
806-743-3143
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
BP1-0035690 (Texas)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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