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Individual

MRS. KELLI L BOGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RN BSN

Contact information

Practice address
411 NORTH HILL ROAD, BRAXTON COUNTY BOARD OF EDUCATION, SUTTON, WV 26601
(304) 765-7101
(304) 765-7148
Mailing address
4576 JETTSVILLE RD, LEIVASY, WV 26676

Taxonomy

Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
52718
WV

Other

Enumeration date
03/31/2008
Last updated
03/31/2008
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