Provider Demographics
NPI:1003070624
Name:BOYCE, KRISTIE (MD, MPH)
Entity Type:Individual
Prefix:
First Name:KRISTIE
Middle Name:
Last Name:BOYCE
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:333 HAYES ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94102-4453
Mailing Address - Country:US
Mailing Address - Phone:415-484-9259
Mailing Address - Fax:415-484-9259
Practice Address - Street 1:333 HAYES ST
Practice Address - Street 2:SUITE 210
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94102-4453
Practice Address - Country:US
Practice Address - Phone:415-484-9259
Practice Address - Fax:415-484-9259
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-13
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAC560232084P0804X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry