Individual
KELLY BOYCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5210 E HAMPTON AVE, APT. 2218, MESA, AZ 85206-6788
(815) 560-2716
Mailing address
3739 BLAINE RD, POPLAR GROVE, IL 61065-9471
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/29/2014
Last updated
07/29/2014
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