Healthcare Provider Details

I. General information

NPI: 1821950577
Provider Name (Legal Business Name): KATHRYN BOYCE RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2025
Last Update Date: 12/02/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 DISCOVERY LOOP N
PANAMA CITY FL
32405-2954
US

IV. Provider business mailing address

1300 DISCOVERY LOOP N
PANAMA CITY FL
32405-2954
US

V. Phone/Fax

Practice location:
  • Phone: 850-867-9195
  • Fax:
Mailing address:
  • Phone: 850-867-9195
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN9352866
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: