SearchNorth Carolina1041C0700X

Keba Bosley

NPI 1649726589 · on the registry since 2016 · sole proprietor

Practice

Address
5912 Brightstar Valley Road
Mint Hill, NC 28227
Phone
(203) 530-0245
Fax
(704) 910-3057

Registry record

Primary taxonomy
1041C0700X
1041C0700X
Licence states on file
NC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-08-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in North Carolina