DR. KATHY ANN BOULET D.C. NPI 1790844850

NPI Information

NPI: 1790844850
Provider Name: DR. KATHY ANN BOULET, D.C.
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
675 MAIN ST
SUITE 18
LEWISTON, ME
ZIP 04240
Phone: (207) 782-1171
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DR. Kathy Ann Boulet, D.C. is a chiropractor in Lewiston, ME with 35 years of experience. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. DR. Kathy Ann Boulet, D.C. NPI is 1790844850. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: LOGAN COLLEGE OF CHIROPRACTIC
Graduation Year:1989

The provider's business location address is:

675 MAIN ST
SUITE 18
LEWISTON, ME
ZIP 04240-802
Phone: (207) 782-1171
Fax: (207) 782-6176

The enumeration date for this NPI number is 12/6/2006 and was last updated on 9/13/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		005842	MISSOURI	No
2	111N00000X	Chiropractor		CR779	MAINE	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0075	OTHER	MAINE	HARVARD PILGRIM HEALTHCAR
2	350052598	OTHER	MAINE	RAILROAD MEDICARE
3	U24940	MEDICARE UPIN	MAINE
4	018172	OTHER	MAINE	ANTHEM BLUE CROSS AND BS
5	4404011	OTHER	MAINE	UNITED HEALTHCARE
6	620063501	OTHER	MAINE	CIGNA GROUP NO.
7	M23107	OTHER	MAINE	CIGNA HMO NO.
8	BOMM6631	MEDICARE ID-TYPE UNSPECIFIED	MAINE	MEDICARE GROUP NO.
9	620070401	OTHER	MAINE	CIGNA INDIVIDUAL NO.
10	BOMM5013	MEDICARE ID-TYPE UNSPECIFIED	MAINE	INDIVIDUAL MEDICARE NO.

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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