Dr. Shelley K Boone, MD
Physical Medicine & Rehabilitation in Columbus, OH. Individual provider (NPI-1).
NPI number1942422274
StatusActive
Last updated in NPPESNov 15, 2011
Details
- NPI
- 1942422274
- Entity type
- Individual (NPI-1)
- Name
- Dr. Shelley K Boone
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 3, 2007
- Last updated
- Nov 15, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 35.088642 | OH | Yes |
| 208100000X | Physical Medicine & Rehabilitation | D71035 | MD | |
| 2081S0010X | Physical Medicine & Rehabilitation, Sports Medicine | 35.088642 | OH |
Practice location
1643 W Lane AveColumbus, OH 43221-3339
Phone 614-775-1503
Mailing address
1643 W Lane AveColumbus, OH 43221-3339
Phone 614-775-1503
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