Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Boone County Family Medicine Tr

Organization Family Medicine Physician · NPI 1033154836

Boone County Family Medicine Tr is a Family Medicine Physician in Boone, Iowa. Works from 2 locations. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1115 S Marshall St
Boone, IA 50036-5304
Phone: (515) 432-2335
Fax: (515) 432-2357
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 120 S Story St, Boone, IA 50036-4739 — (515) 432-4444

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1033154836
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mikaela Kienitz — Ceo · (515) 432-3140
NPI enumeratedJune 17, 2006
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address1115 S Marshall St, Boone, IA 50036-5304

Other providers in Boone