Boone, Katie

Boone, Katie is an individual health care provider with primary practice located at 3306 N Kickapoo Ave Ste 150 , Shawnee OK 74804-1718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boone, Katie can be contacted via phone (405) 628-6535.

Contact Information

Primary practice address
3306 N Kickapoo Ave Ste 150 Shawnee OK 74804-1718
Phone: (405) 628-6535
Fax: (405) 972-7587
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 92966 Oklahoma

Profile Details

NPI number 1700267077
LBN Legal business name Boone, Katie
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2015
Last updated Oct 26th, 2022 - about 2 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 1700267077 NPPES
Oklahoma MEDICAID 200604490A
Oklahoma Other 442155YMU8

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