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Individual
KATHLEEN H BOYD
Active
Individual
KATHLEEN H BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSCSW
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
4040
KS
1041C0700X
Clinical Social Worker
Primary
65115
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110661025
MEDICARE PTAN
KS
05
—
200443090C
—
KS
Enumeration date
07/05/2006
Last updated
12/16/2021
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