Individual provider · Type 1 NPI

Kendall D. Boone, MD

Vascular Surgery Physician · Rockford, IL

NPI number 1861498909 Active

Practice location

1340 Charles St
Rockford, IL 61104-2200

Call (779) 696-8799 Map

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Trauma Surgery Physician 2086S0127X036101179 (IL)
Vascular Surgery Physician 2086S0129X66852 (WI)
Vascular Surgery Physician Primary 2086S0129X036101179 (IL)

Vascular Surgery Physician: A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

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About NPI 1861498909

Kendall D. Boone, MD's National Provider Identifier is 1861498909, issued on Jun 23, 2005. The primary taxonomy on file is Vascular Surgery Physician (2086S0129X), and the practice location is in Rockford, IL. The record was last updated on Mar 21, 2024.