Doctor Name: | MRS. AMY NICOLE BOSWELL |
NPI Number: | 1427109024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BA PRIMARY SERVICE C |
License Number: | |
Business Practice Address: | 815 Triplett St Owensboro, KY - 423021668 |
Business Phone Number: | 2706834517 |
Business Fax Number: | 2708521490 |
Mailing Address: | Po Box 1668, 815 Triplett St OWENSBORO |
State: | KY |
Postal Code: | 423021668 |
Phone Number: | 2706834517 |
Fax Number: | 2708521490 |
NPI Enumeration Date: | 01/12/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |