Individual
KATHY ANN BOEHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
ONE MEDICAL VILLAGE DRIVE, EDGEWOOD, KY 41017
(859) 301-5600
(859) 301-5669
Mailing address
1 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3403
(859) 301-5600
(859) 301-5669
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
002854
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8700128500
—
KY
Enumeration date
10/24/2005
Last updated
02/10/2017
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