Boone, Kevin

Boone, Kevin is an individual health care provider with primary practice located at 2705 N Lebanon St Ste 265 , Lebanon IN 46052-8621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is his primary health care specialty. Boone, Kevin can be contacted via phone (765) 485-8830.

Contact Information

Primary practice address
2705 N Lebanon St Ste 265 Lebanon IN 46052-8621
Phone: (765) 485-8830
Fax: (735) 485-8839
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 71003256A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71003256A Indiana

Profile Details

NPI number 1376869669
LBN Legal business name Boone, Kevin
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2010
Last updated Oct 10th, 2023 - 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 1376869669 NPPES
Indiana MEDICAID 200985040

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