Kirk W Boyenga is a Clinical in Springfield, Illinois. Kirk W Boyenga practices all healthcare services and medical treatments related to Clinical. The NPI Number for Kirk W Boyenga is 1568500056. The last update date is 2007-07-08.
Kirk W Boyenga's current location address is 1124 South Sixth Street, Springfield, Illinois. You can contact this provider via phone number 2175233143 and fax number 2175237695. The mailing address for Kirk W Boyenga is 1124 South Sixth Street, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk W Boyenga |
|---|---|
| Address | 1124 South Sixth Street, Springfield, Illinois |
| Phone Number | 2175233143 |
| Fax Number | 2175237695 |
| Sole Proprietor | N |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1568500056 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1124 South Sixth Street |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627030406 |
| Phone Number | 2175233143 |
| Fax Number | 2175237695 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Kirk W Boyenga?
The Kirk W Boyenga has been issued the NPI (National Provider Identifier) 1568500056 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Kirk W Boyenga's physical address?
The Kirk W Boyenga is physically located at 1124 South Sixth Street, in the city of Springfield, IL, with the postal code 627030406.
What is Kirk W Boyenga's area of expertise and its corresponding taxonomy classification?
The Kirk W Boyenga's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1568500056 to Kirk W Boyenga?
The Kirk W Boyenga received its 1568500056 assignment from the Centers for Medicare & Medicaid Services on 2007-02-05.
When was the information pertaining to Kirk W Boyenga most recently updated or revised?
The details related to Kirk W Boyenga, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
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