Individual
KENDRA A BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
W1750 COUNTY ROAD A, MINDORO, WI 54644-9411
(920) 636-0402
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
8242-23
WI
363AM0700X
Medical Physician Assistant
Primary
8242
WI
Other
Enumeration date
12/31/2024
Last updated
12/30/2025
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