Individual
AGUSTINA BOEHRINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMSC, PA-C
Contact information
Practice address
6345 LONG AVE, SHAWNEE, KS 66216-2504
(781) 985-1768
Mailing address
10906 W 169TH TER, OVERLAND PARK, KS 66221-7954
(781) 985-1768
(781) 985-1768
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
15-02940
KS
363A00000X
Physician Assistant
2020025176
MO
363A00000X
Physician Assistant
PA4083
MA
Other
Enumeration date
02/09/2011
Last updated
08/08/2024
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