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Individual
MISS KATY LAYNE BOREN
Active
Individual
MISS KATY LAYNE BOREN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPAS, PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA15024
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1841756236
GROUP NPI
TX
Enumeration date
08/10/2020
Last updated
07/17/2025
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