Boyd, Karissa Wright

Boyd, Karissa Wright is an individual health care provider with primary practice located at 2520 5Th St N , Columbus MS 39705-2008. She recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as her primary health care specialty. Boyd, Karissa Wright can be contacted via phone (662) 244-2966.

Contact Information

Primary practice address
2520 5Th St N Columbus MS 39705-2008
Fax: (662) 244-2763
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 19216 Mississippi
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 05-33816 Kansas

Profile Details

NPI number 1225135981
LBN Legal business name Boyd, Karissa Wright
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Mar 12th, 2019 - about 6 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 1225135981 NPPES
Kansas Other 068002058 MEDICARE PTAN
Kansas MEDICAID 200613170A MEDICARE PTAN

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