Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223E0200X | Endodontist | 6007 | NC |
NPI | 1164478335 |
---|---|
Provider Name | Dr. Kathleen S Boyd |
First Address | Salisbury, NC 28144-2215 |
Second Address | Salisbury, NC 28144-2215 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
341264 | TRIGON BCBS (01) | |
4010411 | BCBS (01) | TN |
795487 | UNITED CONCORDIA (01) | NC |
8990893 | (05) | NC |
90893 | BCBS (01) | NC |