Kay Boydstun

Key facts

NPI

1104121763

Entity type

Individual (NPI type 1)

Primary specialty

Mental Health Counselor 101YM0800X

Practice address

1604 N Washington Ave
Durant, OK 74701-2128

Phone

(580) 931-3119

NPI assigned

Jan 12, 2011

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 12, 2011.

{
    "created_epoch": "1294790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294790400000",
    "number": "1104121763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 497",
            "city": "CADDO",
            "state": "OK",
            "postal_code": "747290497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 N WASHINGTON AVE",
            "city": "DURANT",
            "state": "OK",
            "postal_code": "747012128",
            "telephone_number": "580-931-3119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYDSTUN",
        "first_name": "KAY",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durant, OK

• Justin Blake Bowen
• Tammy J Bowen
• Jami Lorraine Bowin
• Karen Bowman
• Sherry B Box, TEACHER
• Melissa Anne Boydstun
• Hollee Mileva Boyles, RBT
• Brady Medical Supply
• Brandon E Beaver DDS PC
• Lenore Ruth Branton

All providers in Durant, OK · Mental Health Counselor in Oklahoma