Individual provider · Type 1 NPI

Kimberly Wynne Boshart, MD

Student in an Organized Health Care Education/Training Program · Lubbock, TX

NPI number 1972731446 Active

Practice location

3601 4th St, Ms 9410
Lubbock, TX 79430-0002

Call (806) 743-3155 Map

Fax (806) 743-3143

Mailing address

3601 4th Street, Ms 9410
Lubbock, TX 79430

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XBP1-0035690 (TX)

Student in an Organized Health Care Education/Training Program: 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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About NPI 1972731446

Kimberly Wynne Boshart, MD's National Provider Identifier is 1972731446, issued on Jun 23, 2009. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Lubbock, TX. The record was last updated on Jun 23, 2009.