Individual
KATHY L BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684-7331
(231) 935-5770
Mailing address
4100 PARK FOREST DR, SUITE 210, TRAVERSE CITY, MI 49684-7331
(231) 935-5770
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
4704256562
MI
363LA2100X
Acute Care Nurse Practitioner
RN262430
MA
367500000X
Certified Registered Nurse Anesthetist
Primary
4704256562
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110092776A
—
MA
Enumeration date
05/03/2012
Last updated
02/09/2022
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