NPI 1235128349 · live from the CMS NPI Registry
Carlene Kay Boden, P.A.
Physician Assistant in Anchorage, AK. National Provider Identifier 1235128349, active.
NPI record
| NPI | 1235128349 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 4330 Elmore Rd, Anchorage, AK 99508 |
| Practice phone | 907-729-3300 |
| Mailing address | 7033 E Tudor Rd, Anchorage, AK 99507 |
| Enumerated | October 20, 2005 |
| Last updated | December 11, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Analyst | 103K00000X | BEVB12 (AK) |
| Physician Assistant primary | 363A00000X | 103852 (AK) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.