Individual provider · Type 1 NPI

Cory Michael Johanboeke, PA-C

Physician Assistant · Elizabethtown, KY

NPI number 1992936348 Active

Practice location

913 N Dixie Ave
Elizabethtown, KY 42701-2503

Call (270) 737-1212 Map

Fax (270) 706-1141

Mailing address

425 S Hubbards Ln Apt 237
Louisville, KY 40207-4085

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1992936348

Cory Michael Johanboeke, PA-C's National Provider Identifier is 1992936348, issued on Aug 3, 2009. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Elizabethtown, KY. The record was last updated on Sep 20, 2009.