Individual
EMMA GRACE BOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3533 SOUTHERN BLVD STE 5650, KETTERING, OH 45429-1263
(937) 294-3611
(937) 294-9010
Mailing address
7925 SUMMERLIN CT, LIBERTY TOWNSHIP, OH 45044-8220
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50.009580RX
OH
363A00000X
Physician Assistant
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/21/2024
Last updated
10/01/2025
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