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

Dr. Kathryn Susanne Boles, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1326450362

Dr. Kathryn Susanne Boles, DO is an Anesthesiology in Jacksonville, Florida. Qualified in 2014, 12 years ago. Practices with Sunshine State Anesthesia Partners LLC, a 433-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
12
Licensed in
FL
In the registry since
2014
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4500 San Pablo Rd S
Jacksonville, FL 32224-1865
Phone: (904) 953-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence UO4129 (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1326450362
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 26, 2014
Last updated in NPPESOctober 8, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Sunshine State Anesthesia Partners Llc — 433 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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