Individual provider · NPI-1

Carlene Kay Boden, P.A.

Physician Assistant · Anchorage, AK

NPI number1235128349
StatusActive
Last updated in NPPESDec 11, 2025

Details

NPI
1235128349
Entity type
Individual (NPI-1)
Name
Carlene Kay Boden
Credential
P.A.
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2005
Certification date
Dec 11, 2025
Last updated
Dec 11, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant103852AKYes
103K00000X Behavior AnalystBEVB12AK

Practice location

4330 Elmore Rd
Anchorage, AK 99508-5907

Phone 907-729-3300

Mailing address

7033 E Tudor Rd
Anchorage, AK 99507-1262

Phone 907-729-3300

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