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General NPI Number Information
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NPI Number | 1326498338
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Entity Type | Individual
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Provider Name | KRISTINA MICHELLE BYRD APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 06/21/2016
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Last Update Date | 04/23/2025
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Provider Practice Location Address
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Address Line | 200 MULBERRY ST
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City | BOONEVILLE
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State | KY
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Zip | 41314-7505
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Country | US
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Telephone | 606-593-6023
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Fax | 606-593-6087
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Provider Business Mailing Address
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Address Line | 108 MANCHESTER SHOPPING CTR
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City | MANCHESTER
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State | KY
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Zip | 40962-1401
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Country | US
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Telephone | 606-658-6333
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Fax | 606-658-2173
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3010501
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License Number State | KY
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