Boydston, Kaleb

Boydston, Kaleb is an sole proprietor health care provider with primary practice located at 1111 Ring Rd , Elizabethtown KY 42701-4900. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Boydston, Kaleb can be contacted via phone (816) 383-4380.

Contact Information

Primary practice address
1111 Ring Rd Elizabethtown KY 42701-4900
Phone: (816) 383-4380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1417270364
LBN Legal business name Boydston, Kaleb
Credentials MS, ATC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2010
Last updated Jun 26th, 2011 - about 13 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 1417270364 NPPES
Other 22 RESPIRATORY, DEVELOPMENTAL, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS

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