Doctor Name: | DR. NANCY DIANE BOYD |
NPI Number: | 1346375565 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | A044984 |
Business Practice Address: | 144 Buena Vista Dr. Kernville, CA - 93238 |
Business Phone Number: | 7603766504 |
Business Fax Number: | 7603761625 |
Mailing Address: | 144 Buena Vista Dr., P.o. Box 1754 KERNVILLE |
State: | CA |
Postal Code: | 93238 |
Phone Number: | 7603766504 |
Fax Number: | 7603761625 |
NPI Enumeration Date: | 02/21/2007 |
NPI Last Update Date: | 12/11/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | A044984 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |