Doctor Name: | MRS. KELLI L BOGGS |
NPI Number: | 1013189059 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN BSN |
License Number: | 52718 |
Business Practice Address: | 411 North Hill Road Braxton County Board Of Education Sutton, WV - 26601 |
Business Phone Number: | 3047657101 |
Business Fax Number: | 3047657148 |
Mailing Address: | 4576 Jettsville Rd, LEIVASY |
State: | WV |
Postal Code: | 26676 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/31/2008 |
NPI Last Update Date: | 03/31/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WS0200X |
License Number: | 52718 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WV |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | School |
Taxonomy Definition: |