Doctor Name: | DR. KATHRYN L BOEHNKE |
NPI Number: | 1154307973 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 38222 |
Business Practice Address: | 115 Mountain View Dr Ouray, CO - 814270727 |
Business Phone Number: | 9703254390 |
Business Fax Number: | |
Mailing Address: | Po Box 727, 115 Mountain View Dr OURAY |
State: | CO |
Postal Code: | 814270727 |
Phone Number: | 9703254390 |
Fax Number: | |
NPI Enumeration Date: | 12/22/2005 |
NPI Last Update Date: | 02/23/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 38222 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |