Individual
NATHANAEL KENTON BOONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2087 ACORN BLVD, FRANKLIN, IN 46131-7306
(317) 738-8095
Mailing address
2087 ACORN BLVD, FRANKLIN, IN 46131-7306
(317) 738-8095
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
10004369A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300090407
—
IN
05
—
3000940407
—
IN
Enumeration date
12/06/2023
Last updated
05/16/2025
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