Individual
PENNY ANN BOYLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
200 W ESPLANADE AVE, SUITE 412, KENNER, LA 70065-2489
(504) 464-2940
(054) 464-2941
Mailing address
PO BOX 255228, SACRAMENTO, CA 95865-5228
(800) 470-0071
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20A19003
CA
207Q00000X
Family Medicine Physician
306548
LA
Other
Enumeration date
04/15/2016
Last updated
09/29/2021
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