Individual
DR. KIERA LYN BOOTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
537 STANTON CHRISTIANA RD STE 207, NEWARK, DE 19713-2148
(302) 633-7550
Mailing address
1120 W MICHIGAN ST # CL626, INDIANAPOLIS, IN 46202-5209
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD466761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11018459A
INDIANA PROFESSIONAL LICENSING
IN
01
—
C1-0024322
MEDICAL LICENSE
DE
01
—
MD466761
MEDICAL LICENSE
PA
Enumeration date
06/18/2015
Last updated
11/13/2024
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