Individual
KYLAR M BOGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
702 N 13TH ST, ARTESIA, NM 88210-1199
(575) 748-3333
(575) 736-8441
Mailing address
702 N 13TH ST, ARTESIA, NM 88210-1199
(575) 748-3333
(575) 736-8441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CCMH0214871
NM
101YM0800X
Mental Health Counselor
CCMH0214871
NM
363A00000X
Physician Assistant
Primary
PA2025-0071
NM
Other
Enumeration date
01/18/2022
Last updated
11/18/2025
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