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NPI Code Detail

MEDICARE: KATHRYN LOUISE BOSWELL

MEDICARE: KATHRYN LOUISE BOSWELL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106S00000XBehavior Technician

General Provider Information

NPI Number : 1902583107
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHRYN LOUISE BOSWELL
Provider Business Mailing Address
First Line : 2400 S INTERSTATE 35 STE 190
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-8015
Country : US
Telephone Number : 737-708-8003
Fax Number : 737-708-8022
Provider Business Practice Location Address
First Line : 2400 S INTERSTATE 35 STE 190
Second Line :
City : ROUND ROCK
State : TX
Zip : 78681-8015
Country : US
Telephone Number : 737-708-8003
Fax Number : 737-708-8022
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2023
Last Update Date : 06/29/2023

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Directions to “ KATHRYN LOUISE BOSWELL ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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