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Kayla Knopf Boykin

Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers

370 South Pike West, Sumter, SC 29150-2664

PECOS Enrollment

This provider is enrolled in PECOS as KAYLA BOYKIN.

Based on the most recent information from CMS, provider Kayla Knopf Boykin is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records yesterday at 12:14 PM.

Profile Details

Provider ID
1366923997
Provider Type
Individual
Full Name
Boykin, Kayla Knopf
Credential
APRN, FNP-BC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
8/22/2018
Last Updated
11/15/2018

Contact Information

Practice Location

370 South Pike West, Sumter, SC 29150-2664

(803) 774-6448

(803) 774-8299

Mailing Location

370 South Pike West, Sumter, SC 29150-2664

(803) 774-6448

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 363LF0000X Primary	Description Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers	License 22170 South Carolina

Kayla Knopf Boykin

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

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