Individual
KEVIN D. BOYTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
N.P.
Contact information
Practice address
3021 REIDVILLE RD, SPARTANBURG, SC 29301-5643
(864) 576-9201
(864) 576-6584
Mailing address
3021 REIDVILLE RD, SPARTANBURG, SC 29301-5643
(864) 576-9201
(864) 576-6584
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2623
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GP4988
MEDICAID GROUP NO.
SC
01
—
P00697693
RR MEDICARE PTAN
SC
Enumeration date
11/15/2006
Last updated
08/18/2023
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