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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1003646282

Kathryn Boylan, PA-C is a Physician Assistant in Tallahassee, Florida. Qualified in 2024, 2 years ago. Practices with Southeast Radiology Partners Ltd, a 25-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
2
Licensed in
FL
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1115 W Call St
Tallahassee, FL 32304-3556
Phone: (850) 644-1855
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1600 Phillips Rd, Tallahassee, FL 32308-5304 — (850) 878-4127

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (FL)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1003646282
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 3, 2024
Last updated in NPPESJanuary 24, 2025
Certification dateJanuary 24, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Southeast Radiology Partners Ltd — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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