Dr. Kelly Vanderbilt Bomer
Facial Plastic Surgeon
9155 E Bell Rd
Scottsdale
, Arizona 85260-1521
Dr. Kelly Vanderbilt Bomer
Facial Plastic Surgeon
9155 E Bell Rd
Scottsdale
, Arizona 85260-1521
(480) 889-8871
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About
Features
Specialties
- Facial Plastic Surgeon
Languages spoken
- English
Location
First Address
- Dr. Kelly Vanderbilt Bomer
- 9155 E Bell Rd
- Scottsdale, AZ
- Zip : 85260-1521
- Fax : (480) 889-8871
- Phone : (480) 889-8870
Second Address
- Dr. Kelly Vanderbilt Bomer
- 9155 E Bell Rd
- Scottsdale, AZ
- Zip : 85260-1521
- Fax : (480) 889-8871
- Phone : (480) 889-8870
Reviews
FAQs
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Is Dr. Kelly Vanderbilt Bomer a sole practitioner?
Is Dr. Kelly Vanderbilt Bomer accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207YS0123X | Facial Plastic Surgeon | 30302 | AZ |
National Provider Identifier
| NPI | 1871501999 |
|---|---|
| Provider Name | Dr. Kelly Vanderbilt Bomer |
| First Address | Scottsdale, AZ 85260-1521 |
| Second Address | Scottsdale, AZ 85260-1521 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/08/2006 |
| Last Update Date | 20/12/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| I51059 | (02) | AZ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.