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NPI Code Detail

MEDICARE: KIMBERLY LYNN BOYD LISW

MEDICARE: KIMBERLY LYNN BOYD LISW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker

General Provider Information

NPI Number : 1588177661
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY LYNN BOYD LISW
Provider Business Mailing Address
First Line : 2801 C CT
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4577
Country : US
Telephone Number : 440-998-4210
Fax Number :
Provider Business Practice Location Address
First Line : 2801 C CT
Second Line :
City : ASHTABULA
State : OH
Zip : 44004-4577
Country : US
Telephone Number : 440-998-4210
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2017
Last Update Date : 01/16/2026

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Directions to “ KIMBERLY LYNN BOYD LISW” Practice Location

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