Kindra Roxanne Boyle, LMP

Primary specialty

SpecialistTaxonomy code 174400000X

License

MA00017059 Issued in WA

Practice address

5512 NE 109TH CT Ste I
Vancouver, WA 98662-6175

Phone

(360) 909-1267

NPI assigned

Nov 3, 2006

Last updated

May 19, 2008By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1437238185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14217 NE 91ST ST",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986822685",
            "telephone_number": "360-909-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5512 NE 109TH CT STE I",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626175",
            "telephone_number": "360-909-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYLE",
        "first_name": "KINDRA",
        "middle_name": "ROXANNE",
        "name_prefix": "Ms.",
        "credential": "LMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "WA",
            "license": "MA00017059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Leslie Boyd, MD
• Kathleen Boyd, RN, BSN
• Nathaniel M Boyer, MD
• Tonia Celeste Boyer
• Jack Theodore Boyle, DC
• Kirah Boynton-Brown, DPT, PT
• Brittani Nicole Bozeman, MA
• BR Anesthesia-Wa PLLC
• Katherine Braaten, LMT
• Ariana Brace

• Specialist in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Specialist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.