National Provider Identifier
Kiethan Lance Boyd, NP
Kiethan Lance Boyd, NP is listed in the NPPES registry with a primary specialty of Family Nurse Practitioner in Rochester, NY and a listed phone number of (585) 545-7200.
Profile Overview
- NPI
- 1083365043
- Provider Type
- Individual
- Primary Specialty
- Family Nurse Practitioner
- Enumeration Date
- January 12, 2022
- Last Updated
- August 27, 2024
Practice Location
- 259 Monroe Ave
- Rochester, NY 14607-3632
Phone: (585) 545-7200
Specialties
- Family Nurse Practitioner (363LF0000X)
Full Record
- NPI
- 1083365043
- Entity Type
- Individual
- Last Name
- Boyd
- First Name
- Kiethan
- Middle Name
- Lance
- Credential
- NP
- Mailing Street Address
- 259 Monroe Ave
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14607-3632
- Mailing Country
- US
- Mailing Phone
- (585) 545-7200
- Mailing Fax
- (585) 232-1553
- Practice Street Address
- 259 Monroe Ave
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14607-3632
- Practice Country
- US
- Practice Phone
- (585) 545-7200
- Practice Fax
- (585) 244-8177
- Enumeration Date
- January 12, 2022
- Last Updated
- August 27, 2024
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 27, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Family Nurse Practitioner (363LF0000X)
- Other Identifiers
- 06994123 (NY)