Boyd, Traci Lynn

Boyd, Traci Lynn is an individual health care provider with primary practice located at 105 State Highway 1947 # A , Grayson KY 41143-6825. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boyd, Traci Lynn can be contacted via phone (606) 475-0152.

Contact Information

Primary practice address
105 State Highway 1947 # A Grayson KY 41143-6825
Phone: (606) 475-0152
Fax: (606) 474-4240
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007378 Kentucky

Profile Details

NPI number 1245594811
LBN Legal business name Boyd, Traci Lynn
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2012
Last updated Oct 14th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245594811 NPPES
Kentucky MEDICAID 7100209530
Kentucky MEDICAID 0067537

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