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

MS. Kimberly Ellen Boldon, NP-C

Individual provider Nurse Practitioner · NPI 1083083638

MS. Kimberly Ellen Boldon, NP-C is a Nurse Practitioner in Middletown, Connecticut. Qualified in 2015, 11 years ago. Practices with The Dermatology Center of Connecticut LLC, a 2-clinician group. Licensed in Connecticut.

Years since qualifying
11
Licensed in
CT
In the registry since
2015
What do these letters mean?
NP-C — Nurse Practitioner, Certified
A nurse practitioner certified by the AANP.

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Practice location Address checks out

11 S Main St
Middletown, CT 06457-3656
Phone: (860) 347-4555
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6303 (CT)

Record details

NPI number1083083638
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-C
Sole proprietorNo
NPI enumeratedSeptember 24, 2015
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice The Dermatology Center Of Connecticut Llc — 2 clinicians
Accepts Medicare assignment Not indicated

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