Individual
KATHRYN AMANDA BOEHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 OLENTANGY RIVER RD, COLUMBUS, OH 43214-3998
(614) 566-5000
Mailing address
4802 INISHEER CT, DUBLIN, OH 43017-9170
(614) 795-1997
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.008193RX
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/24/2023
Last updated
06/10/2023
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