Individual
MS. KELLY BOYD
Active
Individual
MS. KELLY BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1083101
KY
163W00000X
Registered Nurse
281348
OH
367500000X
Certified Registered Nurse Anesthetist
281348
OH
367500000X
Certified Registered Nurse Anesthetist
Primary
28181693A
IN
367500000X
Certified Registered Nurse Anesthetist
5232A
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000597276
ANTHEM PROVIDER NUMBER
IN
05
—
200472780
—
IN
05
—
2467816
—
OH
05
—
74007717
—
KY
Enumeration date
07/21/2005
Last updated
05/02/2013
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