Individual
MS. S.KATHRYN BOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN
Contact information
Practice address
9415 CAMPUS POINTE DR, MAIL CODE - 0946, LA JOLLA, CA 92093-0946
(858) 534-6290
(858) 822-1849
Mailing address
8545 CHEVY CHASE DR, LA MESA, CA 91941-5369
(619) 464-1384
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NP6742
CA
363LP2300X
Primary Care Nurse Practitioner
Primary
NP6742
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
491356
RN LICENSE
CA
01
—
6742
NP LICENSE
CA
Enumeration date
04/24/2007
Last updated
09/11/2025
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