Provider Demographics
NPI:1588238349
Name:O'BOYLE, EMILI MEHGAN (CNM)
Entity type:Individual
Prefix:
First Name:EMILI
Middle Name:MEHGAN
Last Name:O'BOYLE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1532 LONE OAK RD STE 245
Mailing Address - Street 2:
Mailing Address - City:PADUCAH
Mailing Address - State:KY
Mailing Address - Zip Code:42003-7941
Mailing Address - Country:US
Mailing Address - Phone:270-538-5700
Mailing Address - Fax:270-538-5701
Practice Address - Street 1:1532 LONE OAK RD STE 245
Practice Address - Street 2:
Practice Address - City:PADUCAH
Practice Address - State:KY
Practice Address - Zip Code:42003-7941
Practice Address - Country:US
Practice Address - Phone:270-538-5700
Practice Address - Fax:270-538-5701
Is Sole Proprietor?:No
Enumeration Date:2021-05-17
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN29439367A00000X
KY4029349367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
TNQ068944Medicaid