Provider Demographics
NPI:1255717336
Name:BOYER, KYRA KIEHNA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KYRA
Middle Name:KIEHNA
Last Name:BOYER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:KYRA
Other - Middle Name:BETH
Other - Last Name:KIEHNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:363 ALBANY STREET
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02118
Mailing Address - Country:US
Mailing Address - Phone:617-892-9313
Mailing Address - Fax:617-521-7170
Practice Address - Street 1:363 ALBANY STREET
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118
Practice Address - Country:US
Practice Address - Phone:617-892-9313
Practice Address - Fax:617-521-7170
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2018-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MA2213411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical