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MR. BOBBY D. BOLAND AFNP
NPI 1699917559
Nurse Practitioner - Family in Kennett, MO

Active since March 24, 2009
402 RECOVERY RD, KENNETT, MO 63857(573) 888-0274(573) 888-1225 Get Directions Write a Review

NPPES record last updated: March 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Bobby D. Boland Afnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. BOBBY D. BOLAND AFNP (NPI 1699917559) is an individual family provider in Kennett, Missouri, licensed in Missouri (152914) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1699917559
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. BOBBY D. BOLANDCredential: AFNP
Location Address402 RECOVERY RDKennett, MO 63857-3235
Mailing AddressPo Box 747, 402 Recovery RoadKennett, MO 63857-0747 · (573) 888-0274 · Fax (573) 888-1225
Phone(573) 888-0274
Fax(573) 888-1225
Sole ProprietorYes
Enumeration DateMarch 24, 2009
✔ NPI 1699917559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MO · 152914
402 RECOVERY RD, Kennett, MO 63857
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Other Identifiers 1

Other152914MO · State Liscence

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EDMUND C LANDRY M D P C
Orthopaedic Surgery
402 RECOVERY RD
KENNETT, MO 63857
Dunklin County (573) 888-2831
MRS. TANIYA CARPENTER R.N.
Nurse Practitioner (Family)
402 RECOVERY RD
KENNETT, MO 63857
Dunklin County (573) 888-2831
KENNETT OPEN MRI LLC
Clinic/Center (Magnetic Resonance Imaging (MRI))
402 RECOVERY RD
KENNETT, MO 63857
Dunklin County (573) 888-1320
DUNKLIN COUNTY HEALTH CENTER
Public Health or Welfare
402 RECOVERY RD
KENNETT, MO 63857
Dunklin County (573) 888-9008
KENNETT HMA PHYSICIANS MANAGEMENT, INC.
Clinical Nurse Specialist (Occupational Health)
402 RECOVERY RD
KENNETT, MO 63857
Dunklin County (573) 888-0274

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 Bobby Boland's NPI number?

The NPI number for Bobby Boland is 1699917559. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Bobby Boland located?

Bobby Boland practices at 402 Recovery Rd, Kennett, MO 63857. The listed phone number is (573) 888-0274.

What is Bobby Boland's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bobby Boland was last updated on March 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.