Individual
DR. MARK A BOYD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 JAMES SIMPSON JR WAY, SUITE 201, COVINGTON, KY 41011
(859) 655-4111
(859) 655-4815
Mailing address
PO BOX 635283, CINCINNATI, OH 45263-5283
(859) 655-4111
(859) 655-4814
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
30711
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0105146
—
OH
05
—
64307119
—
KY
01
—
P01357296
RAILROAD MEDICARE
KY
Enumeration date
11/08/2006
Last updated
09/07/2018
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