IndividualActive
Katherine Boone
NPI 1215196241 · Surgical Physician Assistant · Indianapolis, IN
Provider details
- NPI number
- 1215196241
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 99032721A (IN)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Practice location
5255 E Stop 11 Rd Ste 450
Indianapolis, IN 46237-6342
Phone: (317) 865-4800
Fax: (317) 865-4806
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 781076
Detroit, MI 48278-1076
Registry dates
- Enumerated
- 2008-06-05
- Last updated
- 2023-03-21
- Certified
- 2023-03-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.