Individual
DR. KEVIN P BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
9000 W WISCONSIN AVE, PEDIATRIC RADIOLOGY, MILWAUKEE, WI 53226-4874
(414) 805-3666
(414) 266-8666
Mailing address
9000 W WISCONSIN AVE, PEDIATRIC RADIOLOGY, MILWAUKEE, WI 53226-4874
(414) 805-3666
(414) 266-8666
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
036.127452
IL
2085P0229X
Pediatric Radiology Physician
Primary
57215
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.127452
LICENSED PHYSICIAN AND SURGEON
IL
05
—
1114172004
—
WI
Enumeration date
11/19/2008
Last updated
03/08/2024
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