Provider Demographics
NPI:1942314265
Name:BOVEE, KATHLEEN MARY (NP)
Entity Type:Individual
Prefix:
First Name:KATHLEEN
Middle Name:MARY
Last Name:BOVEE
Suffix:
Gender:F
Credentials:NP
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Other - Credentials:
Mailing Address - Street 1:22 SOUTH GREENE STREET
Mailing Address - Street 2:SURGICAL ONCOLOGY
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21201
Mailing Address - Country:US
Mailing Address - Phone:410-328-7320
Mailing Address - Fax:410-328-6433
Practice Address - Street 1:22 S GREENE ST
Practice Address - Street 2:SURGICAL ONCOLOGY
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1544
Practice Address - Country:US
Practice Address - Phone:410-328-7320
Practice Address - Fax:410-328-6433
Is Sole Proprietor?:No
Enumeration Date:2006-08-17
Last Update Date:2016-01-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY482629-1163W00000X
NY340436363LG0600X
NY340436-1363LG0600X
MDR218354363LG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDP07562Medicare UPIN
P07562Medicare UPIN
NYP07562Medicare UPIN