Doctor Name: | MRS. KIMBERLY A BOYCE |
NPI Number: | 1447464094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA |
License Number: | PAC1881 |
Business Practice Address: | 745 Russell St. Craig, CO - 816252019 |
Business Phone Number: | 9708248233 |
Business Fax Number: | 9708242548 |
Mailing Address: | 745 Russell St., CRAIG |
State: | CO |
Postal Code: | 816252019 |
Phone Number: | 9708248233 |
Fax Number: | 9708242548 |
NPI Enumeration Date: | 05/10/2007 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC1500X |
License Number: | PAC1881 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |