Individual
KATHERINE LESLIE BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
501 SE 172ND AVE, SUITE 250, VANCOUVER, WA 98684-9542
(360) 882-2778
(360) 604-1719
Mailing address
PO BOX 873010, VANCOUVER, WA 98687-3010
(360) 882-2778
(360) 604-1719
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
0101254341
VA
207N00000X
Dermatology Physician
Primary
MD60546990
WA
207ND0900X
Dermatopathology Physician
MD60546990
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-005
TRICARE/CHAMPUS
VA
01
—
10114693
OPTIMA HEALTH
VA
01
—
1437319423
VIRGINIA PREMIER HEALTH PLAN
VA
05
—
1437319423
—
NC
05
—
1437319423
—
VA
01
—
499831
ANTHEM BC/BS
VA
01
—
PAR
MULTIPLAN
VA
Enumeration date
06/12/2008
Last updated
06/08/2015
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