Kimberly Cook Boehm, RD is a
Dietitian, Registered based in Baldwin, Illinois. Kimberly Cook Boehm is licensed to practice in Illinois (license number 164.008217) and her current practice location is
8941 Baldwin Rd, Baldwin, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 606-0493.
NPI number for Kimberly Cook Boehm is 1023970829 and her current mailing address is 8941 Baldwin Rd, Baldwin, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1023970829.
Healthcare Provider's Profile
| Full Name | Kimberly Cook Boehm |
|---|
| Gender | Female |
|---|
| Speciality | Dietitian, Registered |
|---|
| Location | 8941 Baldwin Rd, Baldwin, Illinois |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1023970829
- Provider Enumeration Date: 12/01/2025
- Last Update Date: 12/01/2025
Medical Identifiers
Medical identifiers for Kimberly Cook Boehm such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1023970829 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 133V00000X | Dietitian, Registered | 164.008217 (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Cook Boehm is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kimberly Cook Boehm, RD 8941 Baldwin Rd, Baldwin, IL 62217-1607 Ph: (618) 606-0493 | Kimberly Cook Boehm, RD 8941 Baldwin Rd, Baldwin, IL 62217-1607 Ph: (618) 606-0493 |
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