Individual
DR. KEVIN BOEHLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
15800 MIDWAY RD, ADDISON, TX 75001-4259
(972) 720-7909
(972) 720-7778
Mailing address
811 SHADY MEADOW DR, HIGHLAND VILLAGE, TX 75077-3192
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
J9978
TX
Other
Enumeration date
11/01/2006
Last updated
11/29/2011
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