Provider Demographics
NPI:1225096191
Name:ENGLISH, BOYCE KEITH (MD)
Entity Type:Individual
Prefix:DR
First Name:BOYCE
Middle Name:KEITH
Last Name:ENGLISH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:804 SERVICE RD
Mailing Address - Street 2:# A109F
Mailing Address - City:EAST LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48824-7015
Mailing Address - Country:US
Mailing Address - Phone:517-884-2976
Mailing Address - Fax:517-432-3928
Practice Address - Street 1:1200 E MICHIGAN AVE
Practice Address - Street 2:STE 145
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48912-5353
Practice Address - Country:US
Practice Address - Phone:517-364-5440
Practice Address - Fax:517-364-5409
Is Sole Proprietor?:No
Enumeration Date:2006-05-02
Last Update Date:2018-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43011042902080P0208X
TN202422080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1225096191Medicaid
TN3050219Medicaid
E30811Medicare UPIN
TN3050219Medicaid
MI1225096191Medicaid