Individual
KIMBERLY BOERNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2777 E CAMELBACK RD STE 140, PHOENIX, AZ 85016-4351
(480) 946-7939
(480) 946-5258
Mailing address
9909 E PARADISE DR, SCOTTSDALE, AZ 85260-5920
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
6348
AZ
Other
Enumeration date
04/12/2016
Last updated
05/06/2021
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