Individual provider · Type 1 NPI

William J. Booth, PA-C

Medical Physician Assistant · Kettering, OH

NPI number 1386896710 Active

Practice location

540 Lincoln Park Blvd. Suite 390
Kettering, OH 45429

Call (937) 296-1128 Map

Fax (937) 296-1728

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X50.000525RX (OH)
Physician Assistant 363A00000X50.000525 (OH)

Medical Physician Assistant: Definition to come...

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About NPI 1386896710

William J. Booth, PA-C's National Provider Identifier is 1386896710, issued on Oct 16, 2008. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Kettering, OH. The record was last updated on Mar 5, 2025.