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Dr. Kathryn Elaine Boehm, MD,MS
Pediatric Adolescent Medicine Physician in Toledo, Ohio
NPI 1790788248

Kathryn Elaine Boehm is a Pediatric Adolescent Medicine Physician based in Toledo, OH and is specialized in Adolescent Medicine. Kathryn Elaine Boehm practices in Toledo, OH and has the professional credentials of MD,MS. The NPI Number for Kathryn Elaine Boehm is 1790788248 and holds a License No. 35-05-6573-B (Ohio).

The current practice location address for Kathryn Elaine Boehm is 424 W Woodruff Ave, Toledo, OH and can be reached out via phone at 419-509-6798 and via fax at 866-888-0321.

Location: 424 W Woodruff Ave, Toledo, OH, 43614-1003
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790788248
Provider Name
Kathryn Elaine Boehm
Credential
MD,MS
Provider Entity Type
Individual
Gender
Female
Address
424 W Woodruff Ave, Toledo, OH, 43614-1003
Phone Number
419-509-6798
Fax Number
866-888-0321
Provider Enumeration Date
05/27/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2827491-180 05 MI
3159862 01 OH MEDICAID GROUP NUMBER
0744430 05 OH
35-05-6573-B 01 OH LICENSE
institution
Provider Business Practice Location Address Details
Address
424 W Woodruff Ave
City
Toledo
State
Ohio
Zip
43604-5027
Phone Number
419-509-6798
Fax Number
866-888-0321
person
Provider Business Mailing Address Details
Address
424 W Woodruff Ave
City
Toledo
State
Ohio
Zip
43604-5027
Phone Number
419-509-6798
Fax Number
866-888-0321
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Adolescent Medicine
Taxonomy
2080A0000X
License No.
35-05-6573-B (Ohio)
Definition
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
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