MEDICARE: KILEY T BOYD

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
1	363L00000X	Nurse Practitioner	1-190477	AL

General Provider Information

NPI Number	:	1972457000
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KILEY T BOYD

Provider Business Mailing Address
First Line	:	130 LAKEVIEW DR
Second Line	:
City	:	WEST BLOCTON
State	:	AL
Zip	:	35184-4528
Country	:	US
Telephone Number	:	205-481-8525
Fax Number	:	205-481-8528

Provider Business Practice Location Address
First Line	:	3141 OLD COLUMBIANA RD
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-3703
Country	:	US
Telephone Number	:	205-822-1580
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/25/2026
Last Update Date	:	02/25/2026

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Directions to “ KILEY T BOYD ” Practice Location

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