COREY KENNETH BOEMER

INDIANAPOLIS, IN
NPI1841714425
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IN  1143433)
Enumeration Date2017-07-26
Last Update Date2024-05-08
Business Address
Mr. COREY KENNETH BOEMER PA
1500 N RITTER AVE
INDIANAPOLIS, IN 46219-3027
Phone number: 317-355-5041
Mailing Address
Mr. COREY KENNETH BOEMER PA
2035 BROADWAY ST
INDIANAPOLIS, IN 46202-1760
Phone number: 314-779-8531