Kevin Boatright, is a
Allergy & Immunology physician based in Farmington, Missouri. Kevin Boatright is licensed to practice in Missouri (license number R7D62) and his current practice location is 301 N Washington St, Suite 5, Farmington, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 756-1744.
NPI number for Kevin Boatright is 1629185103 and his current mailing address is 670 Mason Ridge Center Dr, Suite 300, Saint Louis, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1629185103.
Physician's Profile
| Full Name | Kevin Boatright |
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| Gender | Male |
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| Speciality | Allergy & Immunology |
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| Location | 301 N Washington St, Farmington, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1629185103
- Provider Enumeration Date: 08/23/2006
- Last Update Date: 11/13/2012
Medical Identifiers
Medical identifiers for Kevin Boatright such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629185103 | NPI | - | NPPES |
| 201971702 | Medicaid | MO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | R7D62 (Missouri) | Secondary |
| 207K00000X | Allergy & Immunology | R7D62 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kevin Boatright is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kevin Boatright,
670 Mason Ridge Center Dr, Suite 300,
Saint Louis, MO 63141-8573
Ph: (573) 756-1744 | Kevin Boatright,
301 N Washington St, Suite 5,
Farmington, MO 63640-1751
Ph: (573) 756-1744 |
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