Individual
KATHLEEN MARY BOVEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
6300 N WICKHAM RD STE 132A, MELBOURNE, FL 32940-2023
(321) 253-4032
(321) 253-4125
Mailing address
1344 S APOLLO BLVD STE 406, MELBOURNE, FL 32901-3185
(321) 727-2990
(321) 724-0455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
482629-1
NY
363LG0600X
Gerontology Nurse Practitioner
11
FL
363LG0600X
Gerontology Nurse Practitioner
Primary
11020385
FL
363LG0600X
Gerontology Nurse Practitioner
340436
NY
363LG0600X
Gerontology Nurse Practitioner
340436-1
NY
363LG0600X
Gerontology Nurse Practitioner
R218354
MD
Other
Enumeration date
08/17/2006
Last updated
07/12/2024
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