Robert Louis Boden, CSA
Physician Assistant, Surgical in Paris, KY. Individual provider (NPI-1).
NPI number1255463196
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1255463196
- Entity type
- Individual (NPI-1)
- Name
- Mr. Robert Louis Boden
- Credential
- CSA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | SA044 | KY | Yes |
Practice location
320 Skyview DrParis, KY 40361-1039
Phone 859-514-6675 · Fax 859-514-5962
Mailing address
Po Box 5327Paris, KY 40362-5327
Phone 859-514-6675 · Fax 859-514-5962
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