| NPI | 1861746158 |
|---|---|
| Former Name | KORY LYNN BOEING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: OH 50.003976) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: KY PA1777) |
| 363A00000X Physician Assistant (Licence: KY TC159) | |
| Enumeration Date | 2012-11-08 |
| Last Update Date | 2016-12-30 |