Boykin, Kevin Neal

Boykin, Kevin Neal is an individual health care provider with primary practice located at 2508 Bert Kouns Industrial Loop Ste 310 , Shreveport LA 71118-3154. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Pediatric Surgery. Allopathic & Osteopathic Physicians / Pediatric Surgery is his primary health care specialty. Boykin, Kevin Neal can be contacted via phone (318) 212-5880.

Contact Information

Primary practice address
2508 Bert Kouns Industrial Loop Ste 310 Shreveport LA 71118-3154
Fax: (318) 212-5885
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 023569 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X 023569 Louisiana
Allopathic & Osteopathic Physicians / Pediatric Surgery 2086S0120X MD.023569 Louisiana

Profile Details

NPI number 1710909163
LBN Legal business name Boykin, Kevin Neal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2006
Last updated Jun 18th, 2021 - about 4 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 1710909163 NPPES
Louisiana MEDICAID 1486507

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