Kelly Vanderbilt Bomer, MD
Verification result: Current license matched
Arizona Medical License: Active
Facial Plastic Surgeon
- License #30302
- Expires August 27, 2027
- NPI: 1871501999
- Primary taxonomy: Otolaryngology, Facial Plastic Surgery
- Verified September 27, 2026
View verification evidence
Clinic-reported
- Clinic-stated role
- Facial Plastic Surgeon
- Credential
- MD
- Named as medical director
- Not stated
- Named as an injector
- Not stated on the pages reviewed
- Clinic source
- rejuvent.com/dr-kelly-bomer
- Date checked
- September 30, 2026
Dr. Kelly Vanderbilt Bomer,
Federal provider record
- NPI
- 1871501999
- Primary taxonomy
- Otolaryngology, Facial Plastic Surgery
- Source
- NPPES NPI Registry
- Date checked
- September 20, 2026
State professional license
- Credential
- MD
- State license
- MD License, Arizona Medical Board
- License number
- 30302
- Status
- Active
- Expires
- 2027-08-27
- Checked
- September 27, 2026
Board action recorded: None found in the file we read.
MD License license 30302; Kelly V. Bomer; status: Active; expires 2027-08-27; issued 2002-05-08; due to renew by 2027-04-27; office city Scottsdale; fields of practice: Otolaryngology; education: TULANE UNIV SCH OF MED (1995); board actions: none recorded; dispensing certificate: Y
State data published September 1, 2026.
Verification finding
- Result
- Current license matched (Active)
Rejuvent Ear Nose & Throat Surgery names Kelly Vanderbilt Bomer, MD, with the stated role Facial Plastic Surgeon. Verified Injector matched this clinician to license 30302 at the Arizona Medical Board, which that board recorded as Active when checked September 27, 2026.