Boyatt, Kelly Elizabeth

Boyatt, Kelly Elizabeth is an individual health care provider with primary practice located at 31537 Rancho Pueblo Rd Suite 102, Temecula CA 92592-4841. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boyatt, Kelly Elizabeth can be contacted via phone (951) 303-2277.

Contact Information

Primary practice address
31537 Rancho Pueblo Rd Suite 102 Temecula CA 92592-4841
Fax: (951) 303-6432
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A80960 California

Profile Details

NPI number 1295784130
LBN Legal business name Boyatt, Kelly Elizabeth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2006
Last updated Nov 3rd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295784130 NPPES
Other FU294Z MEDICARE PTAN

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