Healthcare Provider Details

I. General information

NPI: 1043912314
Provider Name (Legal Business Name): KATHRYN BYBEE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/20/2023
Last Update Date: 07/11/2026
Certification Date: 07/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

SAHEYTA MEDICAL INSTITUTE 417 US 31W BYPASS
BOWLING GREEN KY
42101
US

IV. Provider business mailing address

SAHEYTA MEDICAL INSTITUTE 417 US 31W BYPASS
BOWLING GREEN KY
42101
US

V. Phone/Fax

Practice location:
  • Phone: 270-901-0629
  • Fax: 270-467-1730
Mailing address:
  • Phone: 270-901-0629
  • Fax: 270-467-1730

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number61974
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: