Individual provider · Type 1 NPI

Kathryn Denise Boomer, PA-C

Medical Physician Assistant · Madison, WI

NPI number 1891270674 Active

Practice location

600 Highland Ave
Madison, WI 53792-0001

Call (608) 915-0900 Map

Mailing address

7974 Uw Health Ct
Middleton, WI 53562-5531

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant 363AM0700X15-02145 (KS)
Medical Physician Assistant Primary 363AM0700X8172-23 (WI)

Medical Physician Assistant: Definition to come...

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About NPI 1891270674

Kathryn Denise Boomer, PA-C's National Provider Identifier is 1891270674, issued on Sep 27, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Madison, WI. The record was last updated on Jun 16, 2025.