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Mr. Robert Louis Boden, CSA
Surgical Physician Assistant in Paris, Kentucky
NPI 1255463196

Robert Louis Boden is a Surgical Physician Assistant based in Paris, KY and is specialized in Surgical. Robert Louis Boden practices in Paris, KY and has the professional credentials of CSA. The NPI Number for Robert Louis Boden is 1255463196 and holds a License No. SA044 (Kentucky).

The current practice location address for Robert Louis Boden is 320 Skyview Dr, Paris, KY and can be reached out via phone at 859-514-6675 and via fax at 859-514-5962.

Location: 320 Skyview Dr, Paris, KY, 40362-5327
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1255463196
Provider Name
Robert Louis Boden
Credential
CSA
Provider Entity Type
Individual
Gender
Male
Address
320 Skyview Dr, Paris, KY, 40362-5327
Phone Number
859-514-6675
Fax Number
859-514-5962
Provider Enumeration Date
03/09/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
755 01 KY NSAA
SA044 01 KY KY BOARD OF MEDICAL LISCE
institution
Provider Business Practice Location Address Details
Address
320 Skyview Dr
City
Paris
State
Kentucky
Zip
40361-1039
Phone Number
859-514-6675
Fax Number
859-514-5962
person
Provider Business Mailing Address Details
Address
320 Skyview Dr
City
Paris
State
Kentucky
Zip
40361-1039
Phone Number
859-514-6675
Fax Number
859-514-5962
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
363AS0400X
License No.
SA044 (Kentucky)
Definition
Definition to come...
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