Healthcare Provider Details

I. General information

NPI: 1013687631
Provider Name (Legal Business Name): KATIE BOYCE PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

208 N 29TH ST STE 201
BILLINGS MT
59101-1926
US

IV. Provider business mailing address

PO BOX 38305
BELFAST ME
04915-1225
US

V. Phone/Fax

Practice location:
  • Phone: 702-589-4871
  • Fax: 702-589-4872
Mailing address:
  • Phone: 702-589-4871
  • Fax: 702-589-4872

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number100873
License Number StateMT
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMED-PAC-LIC-100873
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: