Individual
KENNEDIE ANN BOEHM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP
Contact information
Practice address
19005 SE 34TH ST, VANCOUVER, WA 98683-1450
(360) 726-6720
Mailing address
5308 W LEGENDA CT, HERRIMAN, UT 84096-5408
(701) 214-1574
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP61329027
WA
Other
Enumeration date
06/28/2022
Last updated
06/28/2022
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