KRISTIN LEE BOSILJEVAC


Address: 118 W 4th St, Lebo, KS 66856-9437
Phone: 6202566346

KRISTIN LEE BOSILJEVAC (NPI# 1689017485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1689017485
Entity Type Individual
Full Name KRISTIN LEE BOSILJEVAC
Other Name KRISTIN LEE DUNCAN
Credential M.D.
Practice Address 118 W 4th St
Lebo
KS 66856-9437
Mailing Address Po Box 507
Lebo
KS 66856-0507
Practice Telephone 6202566346
Mailing Telephone 6202566346
Enumeration Date 2013-04-10
Last Update Date 2018-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 207Q00000X Family Medicine 2013016985 MO Allopathic & Osteopathic Physicians
Y 207QS0010X Family Medicine
Specialization: Sports Medicine
04-39259 KS Allopathic & Osteopathic Physicians

Provider Secondary Practice Location

Address Telephone Number Fax Number
118 W 4th St, Lebo, KS 668569437 6202566346

Office Location

Street Address 118 W 4TH ST
City LEBO
State KS
Zip Code 66856-9437

Providers in the same location

NPI Name Taxonomy Address Enumeration
1841244746 Karli J Alderson Family Medicine 118 W 4th St, Lebo, KS 66856-9437 2006-05-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1801290622 Lisa L. Grey Counselor 2611 Fauna Rd, Lebo, KS 66856 2014-10-22
1043223365 Diane R Kimball Nurse Practitioner 118 W 4th, Lebo, KS 66856 2006-08-15
1407889348 Michael Spencer Johnson Dentist 9 W. Broadway, Lebo, KS 66856 2006-07-07
1588624381 Kim Genelle Davis Nurse Practitioner 118 W. 4th, Lebo, KS 66856 2006-03-24
1396861365 Allegre Rexall Drugs Inc. Durable Medical Equipment & Medical Supplies 6 West Broadway St., Lebo, KS 66856-0025 2007-03-22
1881905891 Kellie Lacey Physical Therapy Assistant 31181 S Jordan Rd, Lebo, KS 66856-9130 2010-06-24
1770572216 Auburn Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 6 W Broadway St, Lebo, KS 66856-9709 2005-10-18
1538635826 Auburn Pharmacy, Inc. Pharmacy 6 W Broadway St, Lebo, KS 66856-9709 2018-10-15
1710471990 Peter C Allegre Pharmacist 6 W Broadway St, Lebo, KS 66856-9709 2018-06-20

Taxonomy Information

Taxonomy Code 207QS0010X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine
Specialization Sports Medicine

Taxonomy Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1275828535 Peter L Loo Family Medicine 1101 Sw 29th St, Topeka, KS 66611-1200 2011-06-15
1225336597 Primary Care Plus of Leawood LLC Family Medicine 4900 W 135th St, Suite 190a, Leawood, KS 66224-8900 2011-03-10
1174608111 Jonathan David Schultz Family Medicine 12200 W 106th St Ste 400, Overland Park, KS 66215-2305 2006-10-26
1508956301 Lawrence M Magee Family Medicine Allen Fieldhouse, 1651 Naismith Dr., Lawrence, KS 66045-0001 2006-10-13
1265090666 Herington Municipal Hospital Family Medicine 108 S Main St, Hillsboro, KS 67063-1526 2019-05-31
1649781709 Lawrence Physicians LLC Family Medicine 1112 W 6th St Ste 124, Lawrence, KS 66044-2249 2017-10-17
1811437890 Tabor College Family Medicine 400 S Jefferson St, Hillsboro, KS 67063-1753 2017-02-24
1043624349 Emily Nicole Heronemus Family Medicine 6265 Rock Chalk Dr, Suite 1500, Lawrence, KS 66049 2014-06-13
1952662793 Paul Cleland Family Medicine 707 N Emporia St, Wichita, KS 67214-3707 2012-06-07
1508150830 Thomas Phillips Jr. Family Medicine 7450 W Frontage Rd, Merriam, KS 66203-4670 2011-06-03
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Competitor

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City LEBO
Zip Code 66856

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Dataset Information

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.

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