Individual
KATHLEEN MARY BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D., C.N.S.D.,C.D.E
Contact information
Practice address
3851 ROGER BROOKE DR, BROOKE ARMY MEDICAL CENTER, MCHE-QD (CREDENTIALS), FORT SAM HOUSTON, TX 78234-6200
(210) 916-1912
Mailing address
14500 BLANCO RD, APT 311, SAN ANTONIO, TX 78216-7858
(210) 859-8683
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT06147
TX
Other
Enumeration date
11/16/2005
Last updated
01/14/2011
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