NPI 1104995091 · live from the CMS NPI Registry
Mayola W Boykin, MD
Radiology, Diagnostic Radiology in Ashland, KY. National Provider Identifier 1104995091, active.
NPI record
| NPI | 1104995091 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Radiology, Diagnostic Radiology 2085R0202X |
| Practice location | 2201 Lexington Ave, Ashland, KY 41101 |
| Practice phone | 606-408-4000 |
| Mailing address | Po Box 1595, Ashland, KY 41105 |
| Enumerated | November 7, 2006 |
| Last updated | August 16, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology, Diagnostic Radiology primary | 2085R0202X | 36701 (KY) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.