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Kevin B Boyd
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NPI Number Detailed Information
Provider Information:
| Name: | Kevin B Boyd |
| Gender: | M |
| Provider License Number If Given: | 1062723 |
NPI Information:
| NPI: | 1679572184 |
| Entity Type (Individual or Organization): |
1-ind |
| Enumeration Date: | 7/18/2005 |
| Last Update Date: | 11/30/2015 |
Provider Business Mailing Address:
| Address: | PO BOX 70354 Louisville, KY 40270 |
| Phone Number: | 5024732132 |
| Fax Number: | 5024590923 |
Provider Business Practice Location Address:
| Address: | 4000 KRESGE WAY Louisville, KY 40207 |
| Phone Number: | 5024732132 |
| Fax Number: | 5024590923 |
Provider Taxonomy:
| Primary: | 163W00000X |
| Secondary (if any): | 367500000X |
| State: | KY |
