Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | 0101254341 | VA |
Y | 207N00000X | Dermatologist | MD60546990 | WA |
N | 207ND0900X | Dermatopathologist | MD60546990 | WA |
NPI | 1437319423 |
---|---|
Provider Name | Katherine Leslie Boyd |
First Address | Vancouver, WA 98687-3010 |
Second Address | Vancouver, WA 98684-9542 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2008 |
Last Update Date | 08/06/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
-005 | TRICARE/CHAMPUS (01) | VA |
10114693 | OPTIMA HEALTH (01) | VA |
1437319423 | (05) | NC |
1437319423 | (05) | VA |
1437319423 | CIGNA (01) | VA |
1437319423 | COVENTRY NETWORK (01) | VA |
1437319423 | UNITED HEALTHCARE (01) | VA |
1437319423 | VIRGINIA PREMIER HEALTH PLAN (01) | VA |
499831 | ANTHEM BC/BS (01) | VA |
PAR | AETNA (01) | VA |
PAR | CORVEL (01) | VA |
PAR | MULTIPLAN (01) | VA |
PAR | USA MANAGED CARE (01) | VA |
PAR | VIRGINIA HEALTH NETWORK (01) | VA |