Individual
KAMALA M BOAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
1003 WILLOW CREEK ROAD, PRESCOTT, AZ 86301
(928) 771-5487
(928) 771-5471
Mailing address
PO BOX 11720, PRESCOTT, AZ 86304-1720
(928) 771-5487
(928) 771-5471
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
223354
NY
207R00000X
Internal Medicine Physician
Primary
4600
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2349911
—
NY
Enumeration date
02/08/2007
Last updated
04/27/2011
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