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
Phone: (951) 303-2277
Fax: (951) 303-6432
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295784130 | NPPES |
Other | FU294Z | MEDICARE PTAN |
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