Type 1 individualNPI 1104744135

KAYLA MARIE BONEY

222Q00000X · LEHIGH ACRES, FL

Why this profile is appearing now

Observed change signals

Newly enumerated

The official enumeration date falls within the documented new-enumeration window.

  • Enumeration date is 17 days before observation

Reported classification

Taxonomies

CodeDescriptionSource flag
222Q00000X 222Q00000X Primary
2355S0801X 2355S0801X Additional

Taxonomy reporting does not establish licensure, board certification, expertise, or quality.

Longitudinal record

Observed change timeline

  1. 0 recorded field change s