Provider Demographics
NPI:1942481601
Name:BOYD, SELENA GAIL (PA-C)
Entity Type:Individual
Prefix:MS
First Name:SELENA
Middle Name:GAIL
Last Name:BOYD
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:SELENA
Other - Middle Name:BOYD
Other - Last Name:SCALZITTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2407 RING ROAD SUITE 114. BAPTIST HEALTH HARDIN
Mailing Address - Street 2:PULMONARY & CRITICAL CARE SPECIALISTS
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701
Mailing Address - Country:US
Mailing Address - Phone:270-706-5787
Mailing Address - Fax:270-706-5788
Practice Address - Street 1:2407 RING ROAD SUITE 114. BAPTIST HEALTH HARDIN
Practice Address - Street 2:PULMONARY & CRITICAL CARE SPECIALISTS
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701
Practice Address - Country:US
Practice Address - Phone:270-706-5787
Practice Address - Fax:270-706-5788
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2024-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
363A00000X
NCPA1862363A00000X
KYPA1862363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant