Individual
KENDALL H BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 N STATE OF FRANKLIN RD, JOHNSON CITY, TN 37604-6035
(423) 926-6266
(423) 926-7599
Mailing address
PO BOX 5576, JOHNSON CITY, TN 37602-5576
(423) 926-6266
(423) 926-7599
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
20100
TN
207R00000X
Internal Medicine Physician
Primary
MD20100
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1477585545
—
VA
05
—
3059100
—
TN
05
—
3059103
—
TN
01
—
930077500
RAILROAD MEDICARE
—
Enumeration date
07/07/2006
Last updated
04/04/2011
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