MRS. KYOUNG S BOLTUC (NPI# 1629345608) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1629345608 |
Entity Type | Individual |
Full Name | MRS. KYOUNG S BOLTUC |
Practice Address |
629th Medical Company Unit # 15342 Apo AP 96258-5342 |
Mailing Address |
629th Medical Company Unit # 15342 Apo Ap CA 96258-5342 |
Practice Telephone | 3157327396 |
Mailing Telephone | 3157327396 |
Enumeration Date | 2011-11-19 |
Last Update Date | 2011-11-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 163WX0106X |
Registered Nurse Specialization: Occupational Health |
403434 | CA | Nursing Service Providers |
Street Address |
629TH MEDICAL COMPANY UNIT # 15342 |
City | APO |
State | AP |
Zip Code | 96258-5342 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1265709240 | Usameddac-k,fhp,ohs | Military Hospital | 629th Medical Company, Unit # 15342, Apo, AP 96258-5342 | 2011-11-19 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336623172 | Matthew Gregory Henderson | Physician Assistant | Psc 311, Us Army, Apo, AP 96258 | 2018-09-18 |
1295931384 | 121st Csh/baach | Clinic/Center | Unit 15653, Bldg S306, Apo, AP 96258 | 2007-06-25 |
1437364502 | 121st Csh/baach | Clinic/Center | Unit 15303, Apo, AP 96258 | 2007-05-11 |
1518036722 | Brian Allgood Army Community Hospital | Military/U.S. Coast Guard Pharmacy | Bldg 306, Apo, AP 96258-0189 | 2006-11-06 |
1376532861 | Force Health Protection 18th Medbn | Military Hospital | A Co 168th Med Bn(as), Unit# 15342, Apo, AP 96258-5342 | 2005-10-18 |
1265684161 | Yong Soo Kim | Dentist | 618th Dental Company Unit#15653, Camp Red Cloud, Apo, AP 96258-5653 | 2008-10-22 |
1285618801 | Barry Garland Bishop | Dentist | 618th Dent Co (as), Unit # 15653, Crc, Apo, AP 96258-5653 | 2005-12-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871194654 | Megan Mccann | Social Worker | Hq Meddacb, Unit 28038 Bld 700, Apo, AE 09112 | 2020-11-06 |
1144821588 | Leona Marie Walker | Registered Nurse | Bldg. 650 Huebner Road, Fort Riley, 66442, Apo, AA 66442 | 2020-11-03 |
1699375360 | Erin Rosa Moore-preston | Radiology | Us Army Medical Activity- Bavaria, Unit 28038, Apo, AE 09112 | 2020-10-30 |
1811597578 | Desirae Leann Chitishvili | Nurse's Aide | Us Army Medical Activity-bavaria Unit 28038, Attn: Mceu-bav-cre, Apo, AE 09112 | 2020-10-30 |
1255931689 | Stephanie Ann Lyons | Social Worker | Psc 80 Box 608, Apo, AP 96367-9998 | 2020-10-26 |
1154920940 | Kyle Leo Price | Military Health Care Provider | Uss Oklahoma City, Apo, AP 96932 | 2020-10-22 |
1740889559 | Caitlyn Paige Parnell | Registered Nurse | Patch Barracks Illinoisstrasse 70569, Bld 2300, Apo, AE 09046 | 2020-10-22 |
1336747799 | John Daniel Generous | Physician Assistant | Bastogne St, Bldg 5-4257 Clark Health Clinic Fort Bragg, Apo, AA 18310 | 2020-10-16 |
1093312928 | Richard Keith Smith | Physical Therapist | Landstuhl Regional Medical Centr, Apo, AE 09067 | 2020-10-05 |
1154938520 | Jacob Steven Blackhurst | Dentist | Bldg 4-1838 Normandy Dr, Apo, AA 28307-7302 | 2020-09-29 |
Find all providers in APO |
Taxonomy Code | 163WX0106X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Occupational Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1760813950 | Robert Eugene Fraser | Registered Nurse | Us Army Medical Department Activity-japan, Unit 45011, Apo, AP 96343-5011 | 2013-12-12 |
1033429881 | Jamie Elizabeth Mackenzie | Registered Nurse | Usag-j Meddac Pm, Unit 45013 Box 2578, Apo, AP 96338-5013 | 2010-10-14 |
1720062219 | Bernice Ann Ettore | Registered Nurse | Unit 45011 Bldg 704 Attn Mcja Qm, Usa Medical Department Activity Japan, Apo, AP 96338-5011 | 2005-11-30 |
1891786521 | Young M Son | Registered Nurse | C Co 168th Med Bn, Unit # 15190, Apo, AP 96271-5190 | 2005-11-02 |
1962779942 | Kil Mo Chun | Registered Nurse | 75th Medical Company, Unit # 15021, Apo, AP 96218-5021 | 2011-11-19 |
1821380585 | Harvey Frank Hulse | Registered Nurse | Usa Meddac Bavaria, Cmr 411 Bldg 700 Rose Barracks, Apo, AE 09112 | 2011-05-12 |
Please comment or provide details below to improve the information on MRS. KYOUNG S BOLTUC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.