Kathleen M. Boettcher, PA-C

NPI #1669472551 in Cumming, Georgia

Provider Information

NPI Number: 1669472551
Entity Type: Individual
Name: Kathleen M. Boettcher, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Jul 21, 2005
Last Updated: Sep 2, 2016

Practice Location

Address: 3970 DEPUTY BILL CANTREL MEMOIRAL RD
City: Cumming
State: Georgia
ZIP Code: 30040
Phone: (678) 513-2273

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Medical — Medical	363AM0700X

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