Individual
KEVIN BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
2705 N LEBANON ST STE 265, LEBANON, IN 46052-8621
(765) 485-8830
(735) 485-8839
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
71003256A
IN
363L00000X
Nurse Practitioner
Primary
71003256A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200985040
—
IN
Enumeration date
04/13/2010
Last updated
10/10/2023
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