Individual provider · Type 1 NPI
Boady Kervin
Medical-Surgical Registered Nurse · Gallup, NM
NPI number
1013457688
Active
Practice location
516 E Nizhoni Blvd
Gallup, NM 87301-5748
Mailing address
516 E Nizhoni Blvd.
Gallup, NM 87301
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical-Surgical Registered Nurse Primary | 163WM0705X | 1-061414 (AL) |
Medical-Surgical Registered Nurse: Definition to come...
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About NPI 1013457688
Boady Kervin's National Provider Identifier is 1013457688, issued on Mar 2, 2017. The primary taxonomy on file is Medical-Surgical Registered Nurse (163WM0705X), and the practice location is in Gallup, NM. The record was last updated on Mar 2, 2017.