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DR. KATHARINE LAINE BOYD MD
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1073018461
Individual Registrant:DR. KATHARINE LAINE BOYD MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
3349 MILLWOOD WAY SAINT AUGUSTINE, FL 32086-5094 US
Tel: 704-657-7585 Fax: --
Tel: 704-657-7585 Fax: --
Contact information for business:
3349 MILLWOOD WAY SAINT AUGUSTINE, FL 32086-5094 US
Tel: 704-657-7585 Fax: --
Tel: 704-657-7585 Fax: --
Registration Information:
NPI: 1073018461
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 390200000X | Student Organized Health Care Education/Training Program |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
