Individual
KENNETH W BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
304 HUNTERS HOLW, BOSSIER CITY, LA 71111-2367
(318) 716-1236
(318) 716-1579
Mailing address
304 HUNTERS HOLW, BOSSIER CITY, LA 71111-2367
(318) 716-1236
(318) 716-1579
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
LA
Other
Enumeration date
02/08/2018
Last updated
02/08/2018
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