MR. ROBERT LOUIS BODEN CSA NPI 1255463196

NPI Information

NPI: 1255463196
Provider Name: MR. ROBERT LOUIS BODEN, CSA
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
320 SKYVIEW DR
PARIS, KY
ZIP 40361
Phone: (859) 514-6675
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MR. Robert Louis Boden, CSA is a surgical physician assistant in Paris, KY. MR. Robert Louis Boden, CSA NPI is 1255463196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

320 SKYVIEW DR
PARIS, KY
ZIP 40361-039
Phone: (859) 514-6675
Fax: (859) 514-5962

The enumeration date for this NPI number is 3/9/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	SA044	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	755	OTHER	KENTUCKY	NSAA
2	SA044	OTHER	KENTUCKY	KY BOARD OF MEDICAL LISCE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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