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DR. NANCY DIANE BOYD M.D.
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1346375565
Individual Registrant:DR. NANCY DIANE BOYD M.D.
Gender: F
Sole Proprietor
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
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
Tel: 760-376-6504 Fax: 760-376-1625
Registration Information:
NPI: 1346375565
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | CA | A044984 |
| N | 208D00000X | Allopathic & Osteopathic Physicians General Practice | CA | A044984 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| TAX I.D. | 770525788 | CA | 01 |
| A449840 | CA | 05 |
