institution
Kathryn E. Boehm, Md, Llc
Clinic/Center in Toledo, Ohio
NPI 1104052844

Kathryn E. Boehm, Md, Llc is a Clinic/Center based in Toledo, OH. Kathryn E. Boehm, Md, Llc practices in Toledo, OH. The NPI Number for Kathryn E. Boehm, Md, Llc is 1104052844 and holds a License No. 35056573B (Ohio).

The current practice location address for Kathryn E. Boehm, Md, Llc is 3454 Oak Alley Ct, Toledo, OH and can be reached out via phone at 419-724-6888 and via fax at 419-724-6893.

Location: 3454 Oak Alley Ct, Toledo, OH, 43606-1306
institution
Provider Profile Details
NPI Number
1104052844
Provider Name
Kathryn E. Boehm, Md, Llc
Credential
Provider Entity Type
Organization
Address
3454 Oak Alley Ct, Toledo, OH, 43606-1306
Phone Number
419-724-6888
Fax Number
419-724-6893
Provider Enumeration Date
06/09/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0744430 05 OH
9347012 01 MEDICARE PTAN GROUP #
KA9347011 01 OH MEDICARE PTAN GROUP #
3159862 01 OH MEDICAID GROUP NUMBER
institution
Provider Business Practice Location Address Details
Address
3454 Oak Alley Ct
City
State
Zip
43606-1306
Phone Number
419-724-6888
Fax Number
419-724-6893
person
Provider Business Mailing Address Details
Address
3454 Oak Alley Ct
City
State
Zip
43606-1306
Phone Number
419-724-6888
Fax Number
419-724-6893
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
35056573B (Ohio)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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