Individual
CLIFTON TODD BOYTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
250 PARK ST, BOWLING GREEN, KY 42101-1760
(270) 393-1912
(270) 393-1913
Mailing address
350 PARK ST, STE 203 B, BOWLING GREEN, KY 42101-1784
(270) 393-1912
(270) 393-1913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN138164
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000502687
BLUE CROSS
KY
05
—
3632733
—
TN
01
—
4084215
BLUE CROSS BLUE SHIELD
TN
01
—
P00390653
RAILROAD MEDICARE
KY
Enumeration date
05/18/2006
Last updated
04/14/2010
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