Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlin Boehm, DO

Individual provider Pediatric Emergency Medicine (Pediatrics) Physician · NPI 1033573522

Kaitlin Boehm, DO is a Pediatric Emergency Medicine (Pediatrics) Physician in Mineola, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

259 1st St
Mineola, NY 11501-3957
Phone: (516) 663-8766
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Emergency Medicine (Pediatrics) Physician (primary) Taxonomy 2080P0204X · Licence 297765 (NY)

Record details

NPI number1033573522
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 11, 2016
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023
Mailing address259 1st St, Mineola, NY 11501-3957

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