Boone, Katherine Irene

Boone, Katherine Irene is an individual health care provider with primary practice located at 5255 E Stop 11 Rd Ste 450 , Indianapolis IN 46237-6342. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Boone, Katherine Irene can be contacted via phone (317) 865-4800.

Contact Information

Primary practice address
5255 E Stop 11 Rd Ste 450 Indianapolis IN 46237-6342
Phone: (317) 865-4800
Fax: (317) 865-4806
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 99032721A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 10001000A Indiana

Profile Details

NPI number 1215196241
LBN Legal business name Boone, Katherine Irene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 5th, 2008
Last updated Mar 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215196241 NPPES
Indiana MEDICAID 300007527
Indiana Other M400063087

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