Most Relevant Information
Provider Data
| NPI Number: | 1003578162 |
| Provider Name: | KESHA NACOLE BOYLES |
| Entity Type: | Individual |
| Taxonomy Code: | 235Z00000X |
| Specialty: | Speech-Language Pathologist |
| License Number: | 119070 |
Most Important Dates
| Enumeration Date: | 10/06/2021 |
| Last Updated: | 10/06/2021 |
Provider Practice Location
14651 DALLAS PKWY STE 200
DALLAS
TX
752548856
Practice Location Phone/Fax
| Phone: | 8669193240 |
| Fax: |
Provider Mailing Location
15190 PRESTONWOOD BLVD APT 823
DALLAS
TX
752484736
Provider Mailing Phone/Fax
| Phone: | 8707840190 |
| Fax: |