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Katherine Irene Boone
Surgical Physician Assistant in Indianapolis, Indiana
NPI 1215196241

Katherine Irene Boone is a Surgical Physician Assistant based in Detroit, IN and is specialized in Surgical. Katherine Irene Boone practices in Indianapolis, IN. The NPI Number for Katherine Irene Boone is 1215196241 and holds a License No. 99032721A (Indiana).

The current practice location address for Katherine Irene Boone is 5255 E Stop 11 Rd Ste 450, Indianapolis, IN and can be reached out via phone at 317-865-4800 and via fax at 317-865-4806.

Location: 5255 E Stop 11 Rd Ste 450, Indianapolis, IN, 48278-1076
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Provider Profile Details
NPI Number
1215196241
Provider Name
Katherine Irene Boone
Credential
Provider Entity Type
Individual
Gender
Female
Address
5255 E Stop 11 Rd Ste 450, Indianapolis, IN, 48278-1076
Phone Number
317-865-4800
Fax Number
317-865-4806
Provider Enumeration Date
06/05/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300007527 05 IN
M400063087 01 IN MEDICARE
institution
Provider Business Practice Location Address Details
Address
5255 E Stop 11 Rd Ste 450
City
State
Zip
46237-6342
Phone Number
317-865-4800
Fax Number
317-865-4806
person
Provider Business Mailing Address Details
Address
5255 E Stop 11 Rd Ste 450
City
State
Zip
46237-6342
Phone Number
317-865-4800
Fax Number
317-865-4806
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
99032721A (Indiana)
Definition
Definition to come...
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