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NPI Code Detail

MEDICARE: MRS. RACHEL MARIE BOYLAN

MEDICARE:  MRS. RACHEL MARIE BOYLAN
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
1174400000XSpecialistMO

General Provider Information

NPI Number : 1215124912
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL MARIE BOYLAN
Provider Business Mailing Address
First Line : 9241 WEDD ST
Second Line :
City : OVERLAND PARK
State : KS
Zip : 66212-4950
Country : US
Telephone Number : 913-638-6743
Fax Number :
Provider Business Practice Location Address
First Line : 6405 METCALF AVE
Second Line : SUITE 220
City : OVERLAND PARK
State : KS
Zip : 66202-3927
Country : US
Telephone Number : 913-236-4211
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/27/2007
Last Update Date : 09/27/2007

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Directions to “ MRS. RACHEL MARIE BOYLAN ” Practice Location

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