Individual
NEESAYTEE KIMBERLY BOULDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
12 ST PAUL DR, CHAMBERSBURG, PA 17201-1035
(717) 217-6882
(717) 217-6883
Mailing address
785 5TH AVE STE 3, CHAMBERSBURG, PA 17201-4232
(717) 263-9555
(717) 709-6529
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD471312
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14590947
CAQH
PA
Enumeration date
06/09/2016
Last updated
07/21/2020
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