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DR. NANCY DIANE BOYD M.D.

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1346375565

Individual Registrant:
DR. NANCY DIANE BOYD M.D.
Gender: F
Sole Proprietor

Location and contact information for practice:
144 BUENA VISTA DR.  KERNVILLE, CA 93238 US
Tel: 760-376-6504  Fax: 760-376-1625

Contact information for business:
144 BUENA VISTA DR. P.O. BOX 1754 KERNVILLE, CA 93238 US
Tel: 760-376-6504  Fax: 760-376-1625

Registration Information:
NPI: 1346375565
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
CAA044984
N208D00000XAllopathic & Osteopathic Physicians
General Practice
CAA044984

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
TAX I.D.770525788CA01
A449840CA05




HEALTH CARE JOBS CA - Page 1



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