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Kathryn Emily Bynum
Family Nurse Practitioner in Portola, California
NPI 1659002665

Kathryn Emily Bynum is a Family Nurse Practitioner based in Portola, CA and is specialized in Family. Kathryn Emily Bynum practices in Portola, CA. The NPI Number for Kathryn Emily Bynum is 1659002665 and holds a License No. NP95020984 (California).

The current practice location address for Kathryn Emily Bynum is 480 1St Ave, Portola, CA and can be reached out via phone at 530-832-6600.

Location: 480 1St Ave, Portola, CA, 96122-9405
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659002665
Provider Name
Kathryn Emily Bynum
Credential
Provider Entity Type
Individual
Gender
Female
Address
480 1St Ave, Portola, CA, 96122-9405
Phone Number
530-832-6600
Fax Number
Provider Enumeration Date
06/21/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
480 1St Ave
City
Portola
State
California
Zip
96122-9405
Phone Number
530-832-6600
Fax Number
person
Provider Business Mailing Address Details
Address
480 1St Ave
City
Portola
State
California
Zip
96122-9405
Phone Number
530-832-6600
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
NP95020984 (California)
Definition
Definition to come...
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