Individual provider · Type 1 NPI

Katherine Irene Boone

Surgical Physician Assistant · Indianapolis, IN

NPI number 1215196241 Active

Practice location

5255 E Stop 11 Rd Ste 450
Indianapolis, IN 46237-6342

Call (317) 865-4800 Map

Fax (317) 865-4806

Mailing address

PO Box 781076
Detroit, MI 48278-1076

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant 363AS0400X99032721A (IN)
Surgical Physician Assistant Primary 363AS0400X10001000A (IN)

Surgical Physician Assistant: Definition to come...

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About NPI 1215196241

Katherine Irene Boone's National Provider Identifier is 1215196241, issued on Jun 5, 2008. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Indianapolis, IN. The record was last updated on Mar 21, 2023.