Individual
KATIE J BOYDSTUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3901 RAINBOW BLVD, KANSAS CITY, KS 66160-8500
(913) 588-1227
Mailing address
5900 W STONEY BROOK RD APT 2102, ROGERS, AR 72758-4625
(309) 335-3353
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2015014686
MO
367500000X
Certified Registered Nurse Anesthetist
Primary
112814
MO
Other
Enumeration date
07/10/2017
Last updated
07/10/2017
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