Individual
MR. TERRY W BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
308 S MAIN ST, MARION, KY 42064-1545
(270) 965-4377
(270) 965-9569
Mailing address
PO BOX 347, SALEM, KY 42078-0347
(270) 988-3298
(270) 988-4642
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA1128
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100064700
—
KY
Enumeration date
06/12/2008
Last updated
04/25/2025
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