KIMBERLY BOLDIG DO
NPI 1669050001
Student in an Organized Health Care Education/Training Program in Detroit, MI
About Kimberly Boldig Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY BOLDIG DO (NPI 1669050001) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kimberly Boldig Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kimberly Boldig's NPI number?
The NPI number for Kimberly Boldig is 1669050001. It was assigned to this individual provider in the NPPES registry on March 29, 2021.
Where is Kimberly Boldig located?
Kimberly Boldig practices at 2799 W Grand Blvd, Detroit, MI 48202. The listed phone number is (313) 916-2600.
What is Kimberly Boldig's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kimberly Boldig enrolled in Medicare?
Yes. Kimberly Boldig is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kimberly Boldig was last updated on June 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kimberly Boldig, DO · NPI 1669050001
Student in an Organized Health Care Education/Training Program provider in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since March 29, 2021.
## Identity
- **NPI:** 1669050001 (Entity type: Individual)
- **Enumerated:** March 29, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2799 W GRAND BLVD, Detroit, MI 48202-2608
- **Phone:** (313) 916-2600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 5, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1669050001) · Data from the CMS NPPES public registry.