DR. KELLY VANDERBILT BOMER M.D. NPI 1871501999

NPI Information

NPI: 1871501999
Provider Name: DR. KELLY VANDERBILT BOMER, M.D.
Classification: Otolaryngology - 207YS0123X
Entity Type: Individual

Specialization: Facial Plastic Surgery

Address:
9155 E BELL RD
SCOTTSDALE, AZ
ZIP 85260
Phone: (480) 889-8870
Get Directions

DR. Kelly Vanderbilt Bomer, M.D. is a facial plastic surgery otolaryngology in Scottsdale, AZ. The provider is an otolaryngologist who specializes in facial plastic surgery. DR. Kelly Vanderbilt Bomer, M.D. NPI is 1871501999. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9155 E BELL RD
SCOTTSDALE, AZ
ZIP 85260-521
Phone: (480) 889-8870
Fax: (480) 889-8871

The enumeration date for this NPI number is 8/4/2006 and was last updated on 12/20/2019.

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	207YS0123X	Otolaryngology	Facial Plastic Surgery	30302	ARIZONA	Yes

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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