Boomer, Kathryn Denise

Boomer, Kathryn Denise is an sole proprietor health care provider with primary practice located at 929 St. Francis N , Wichita KS 67214. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boomer, Kathryn Denise can be contacted via phone (316) 268-5000.

Contact Information

Primary practice address
929 St. Francis N Wichita KS 67214
Phone: (316) 268-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 15-02145 Kansas

Profile Details

NPI number 1891270674
LBN Legal business name Boomer, Kathryn Denise
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2018
Last updated Sep 28th, 2018 - about 6 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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