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General NPI Number Information
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NPI Number | 1164478335
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Entity Type | Individual
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Provider Name | KATHLEEN S BOYD D.D.S.
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Gender | Female
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Dates
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Enumeration Date | 05/26/2006
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 108 DOCTORS DR
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City | BOONE
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State | NC
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Zip | 28607-5000
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Country | US
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Telephone | 828-262-4651
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Fax | 828-386-1773
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Provider Business Mailing Address
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Address Line | PO BOX 1490
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City | BOONE
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State | NC
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Zip | 28607-1490
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Country | US
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Telephone | 828-262-3886
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Fax | 828-265-4816
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number | 6007
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License Number State | NC
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