Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHRYN DENISE BOOMER, PA-C
Active Sole ProprietorKATHRYN DENISE BOOMER, PA-C is a Medical Physician Assistant healthcare provider located in MADISON, Wisconsin. NPI 1891270674 is currently active in the NPPES registry. Verify at CMS.
Medical Physician Assistant · MADISON, WI
Registration Details
- NPI Number
- 1891270674
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2018 (7.8836710656199 yrs)
- Last Updated
- Jun 16, 2025
- Licenses
-
15-02145 (KS)8172-23 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
600 HIGHLAND AVEMADISON, WI, 537920001Browse WI providers · Browse ZIP 53792
- Phone
- 6089150900
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
- Additional Specialty
- Medical Physician Assistant
Other Medical Physician Assistant Providers in MADISON, WI
| Name | Credential | NPI |
|---|---|---|
| JANET A ROBILLARD | PA | 1659375046 |
| MS. MARY L EVENSON | PA-C | 1659366565 |
| MR. LESLIE P LIEGEL | PAC | 1922084649 |
| ABBY L HAMILTON | PA | 1083687941 |
| MRS. TERESA LYNN WOLFE | PA | 1003889817 |
| MEGAN E BARRY-LUGLIO | PA | 1831165851 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.