KENNETH J BOONE SR. MD - INTERN
NPI 1679346290
Counselor in North Las Vegas, NV

Q: What is Kenneth Boone's NPI number?

The NPI number for Kenneth Boone is 1679346290. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Q: What is Kenneth Boone's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Kenneth Boone was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 06, 2023

1703 CIVIC CENTER DR STE 5, NORTH LAS VEGAS, NV 89030(716) 308-0228 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kenneth J Boone Sr. Md - Intern NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH J BOONE SR. MD - INTERN (NPI 1679346290) is an individual counselor in North Las Vegas, Nevada, licensed in Nevada (CI5343) and active in the NPI registry since November 2023. He maintains a secondary practice location in Las Vegas.

NPPES Registry Identity

NPI1679346290

Entity TypeIndividualMale

Primary Taxonomy101Y00000X

Provider Legal NameKENNETH J BOONE SR.Credential: MD - INTERN

Location Address1703 CIVIC CENTER DR STE 5North Las Vegas, NV 89030-7273

Mailing Address4225 S Eastern Ave., Ste. 6, Unit 126Las Vegas, NV 89119 · (716) 308-0228

Phone(716) 308-0228

Sole ProprietorYes

Enumeration DateNovember 6, 2023

NPPES CertifiedNovember 5, 2023

✔ NPI 1679346290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in NV · CI5343

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1703 CIVIC CENTER DR STE 5, North Las Vegas, NV 89030

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Secondary Practice Location 1

Location 14580 S Eastern Ave Ste 33Las Vegas, NV 89119-6100 · Phone (716) 308-0228

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NORTH LAS VEGAS DENTAL GROUP

Dentist

1703 CIVIC CENTER DR STE 5
NORTH LAS VEGAS, NV 89030

Clark County (702) 452-5751

INNER HEALING CENTER

Clinic/Center (Multi-Specialty)

1703 CIVIC CENTER DR STE 5
NORTH LAS VEGAS, NV 89030

Clark County (702) 874-4448

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Boone's NPI number?

The NPI number for Kenneth Boone is 1679346290. It was assigned to this individual provider in the NPPES registry on November 6, 2023.

Where is Kenneth Boone located?

Kenneth Boone practices at 1703 Civic Center Dr Ste 5, North Las Vegas, NV 89030. The listed phone number is (716) 308-0228.

What is Kenneth Boone's specialty?

The primary specialty registered for this NPI is Counselor with taxonomy code 101Y00000X.

When was this NPI record last updated?

The NPPES record for Kenneth Boone was last updated on November 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.