Individual
DANIEL BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
189 ADAM SHEPHERD PKWY, SUITE 14, SHEPHERDSVILLE, KY 40165-6579
(502) 955-7724
(502) 955-5778
Mailing address
189 ADAM SHEPHERD PKWY, SUITE 14, SHEPHERDSVILLE, KY 40165-6579
(502) 955-7724
(502) 955-5778
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
003437
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000064465
ANTHEM/BCBS
KY
Enumeration date
08/01/2006
Last updated
07/08/2007
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