Individual
CHARLES WAYNE BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11115 BENNINGTON AVE, KANSAS CITY, MO 64134-3106
(614) 736-2814
Mailing address
617 E 40TH ST, KANSAS CITY, MO 64110-1101
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
2024020704
MO
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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