Kathryn E. Boehm, Md, Llc
Clinic/Center in Toledo, OH(View on Map)
Legal Business Name
Kathryn E. Boehm, Md, Llc
NPI Number
1104052844
NPI Type
Organization
Enumeration Date
06/09/2009
Specialties
(Taxonomies)Licenses
State
Ohio
License Number
35056573B
Contact
Information
Purpose
Mailing
Location
Address
3454 OAK ALLEY CT
3454 OAK ALLEY CT
City
Toledo
Toledo
State
OH
OH
Postal Code
43606-1306
43606-1306
Country
US
US
Telephone Number
(419) 724-6888
(419) 724-6888
Authorized Official
Name
Dr. Kathryn Boehm
Title or Position
SOLE PROPRIETOR
Telephone Number
(419) 724-6888
Identifiers
Identifier
0744430
9347012
KA9347011
3159862
Identifier State
OH
Unknown
OH
OH
Identifier Issuer
Unknown
MEDICARE PTAN GROUP #
MEDICARE PTAN GROUP #
MEDICAID GROUP NUMBER
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 12/23/2011
Provider Address
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