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).
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 |
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 |
Address | Telephone Number | Fax Number |
---|---|---|
118 W 4th St, Lebo, KS 668569437 | 6202566346 |
Street Address |
118 W 4TH ST |
City | LEBO |
State | KS |
Zip Code | 66856-9437 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1841244746 | Karli J Alderson | Family Medicine | 118 W 4th St, Lebo, KS 66856-9437 | 2006-05-22 |
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 Code | 207QS0010X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Specialization | Sports Medicine |
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. |
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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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.