Individual
MISS KELLY DANIELLE BOGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
10506 MONTGOMERY RD STE 301A, MONTGOMERY, OH 45242-4400
(513) 246-2400
(513) 246-4050
Mailing address
635 SARATOGA ST, NEWPORT, KY 41071-1920
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0030319
OH
363LA2100X
Acute Care Nurse Practitioner
CNP.0030319
OH
363LG0600X
Gerontology Nurse Practitioner
Primary
APRN.CNP.0030319
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0462231
—
OH
Enumeration date
11/23/2021
Last updated
04/26/2023
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