Boyd, Kevin D

Boyd, Kevin D is an individual health care provider with primary practice located at 2 Saint Anthonys Way Suite 205, Alton IL 62002-4569. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boyd, Kevin D can be contacted via phone (618) 462-2222.

Contact Information

Primary practice address
2 Saint Anthonys Way Suite 205 Alton IL 62002-4569
Phone: (618) 462-2222
Fax: (618) 463-5004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036086462 Illinois
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036.086462 Illinois

Profile Details

NPI number 1407962012
LBN Legal business name Boyd, Kevin D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Jan 23rd, 2014 - about 10 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 1407962012 NPPES
Illinois MEDICAID 036054127
Illinois Other 110191310

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