Kirsten Marie Boughan
Internist Hematologist
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
Kirsten Marie Boughan
Internist Hematologist
11100 Euclid Ave
Cleveland
, Ohio 44106-1716
(216) 844-3951
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About
Features
Specialties
- Internist
- Hematologist
Languages spoken
- English
Location
First Address
- Kirsten Marie Boughan
- 11100 Euclid Ave
- Cleveland, OH
- Zip : 44106-1716
- Phone : (216) 844-3951
Second Address
- Kirsten Marie Boughan
- 11100 Euclid Ave
- Cleveland, OH
- Zip : 44106-1716
- Phone : (216) 844-3951
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | OT013807 | PA |
| Y | 111NI0900X | Internist | OT013807 | PA |
| N | 207RH0000X | Hematologist | 0S016777 | PA |
National Provider Identifier
| NPI | 1043523103 |
|---|---|
| Provider Name | Kirsten Marie Boughan |
| First Address | Cleveland, OH 44106-1716 |
| Second Address | Cleveland, OH 44106-1716 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/07/2010 |
| Last Update Date | 12/01/2021 |
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.