Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 064883-23 | NH |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | 064883-23 | NH |
NPI | 1811373913 |
---|---|
Provider Name | Mrs. Kathy Boyd |
First Address | Rochester, NH 03867-4352 |
Second Address | New Ipswich, NH 03071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/07/2015 |
Last Update Date | 17/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3101718 | (05) | NH |