Provider Demographics
NPI:1053571075
Name:BOYD, KRISTINA BRIENNE (DC)
Entity type:Individual
Prefix:DR
First Name:KRISTINA
Middle Name:BRIENNE
Last Name:BOYD
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:516 PARK ST
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:AL
Mailing Address - Zip Code:36081-4122
Mailing Address - Country:US
Mailing Address - Phone:334-740-7475
Mailing Address - Fax:
Practice Address - Street 1:516 PARK ST
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:AL
Practice Address - Zip Code:36081-4122
Practice Address - Country:US
Practice Address - Phone:334-740-7475
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2199111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor