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Individual
KIMBERLY A BOOTE
Active
Individual
KIMBERLY A BOOTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.N.M.
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
B-100517
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076372
—
IA
05
—
0417469
—
IA
01
—
IA0147
JOHN DEERE
—
Enumeration date
07/11/2005
Last updated
03/13/2019
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