Boyd, Kathryn S

Boyd, Kathryn S is an individual health care provider with primary practice located at 2180 Ada Avenue Suite 300 , Conway AR 72034-7203. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boyd, Kathryn S can be contacted via phone (501) 327-6547.

Contact Information

Primary practice address
2180 Ada Avenue Suite 300 Conway AR 72034-7203
Phone: (501) 327-6547
Fax: (501) 327-9715
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A003203 Mississippi

Profile Details

NPI number 1265514368
LBN Legal business name Boyd, Kathryn S
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 19th, 2006
Last updated Nov 4th, 2020 - about 5 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 1265514368 NPPES
Arkansas MEDICAID 216670758

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