KIRSTEN MARIE BOUGHAN

CLEVELAND, OH
NPI1043523103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy207R00000X Internal Medicine
(Licence: PA  OT013807)
Additional Taxonomies207RH0000X Internal Medicine, Hematology
(Licence: PA  0s016777)
Enumeration Date2010-07-19
Last Update Date2021-01-12
Business Address
KIRSTEN MARIE BOUGHAN D.O.
11100 EUCLID AVE
CLEVELAND, OH 44106-1716
Phone number: 216-844-3951
Mailing Address
KIRSTEN MARIE BOUGHAN D.O.
11100 EUCLID AVE
CLEVELAND, OH 44106-1716
Phone number: 216-844-3951