Boyd, Kenneth J

Boyd, Kenneth J is an individual health care provider with primary practice located at 1088 W Baltimore Pike Ste 2101, Media PA 19063-5136. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Boyd, Kenneth J can be contacted via phone (610) 565-3435.

Contact Information

Primary practice address
1088 W Baltimore Pike Ste 2101 Media PA 19063-5136
Phone: (610) 565-3435
Fax: (610) 566-1387
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X MD036083E Pennsylvania

Profile Details

NPI number 1144226606
LBN Legal business name Boyd, Kenneth J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Dec 14th, 2010 - about 14 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 1144226606 NPPES
Pennsylvania MEDICAID 0011209700002
Pennsylvania Other 32129B
Pennsylvania Other 280000253
Pennsylvania Other 0031097000

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