Boyd, Kevin B

Boyd, Kevin B is an individual health care provider with primary practice located at 4000 Kresge Way , Louisville KY 40207-4605. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Boyd, Kevin B can be contacted via phone (502) 473-2132.

Contact Information

Primary practice address
4000 Kresge Way Louisville KY 40207-4605
Phone: (502) 473-2132
Fax: (502) 459-0923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1062723 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3001929 Kentucky

Profile Details

NPI number 1679572184
LBN Legal business name Boyd, Kevin B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2005
Last updated Nov 30th, 2015 - about 9 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 1679572184 NPPES
Kentucky MEDICAID 74441551

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