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General NPI Number Information
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NPI Number | 1467640045
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Entity Type | Organization
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Legal Business Name | KATHRYN BYRD,MD,PC.
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Dates
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Enumeration Date | 10/09/2007
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Last Update Date | 07/18/2011
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Provider Practice Location Address
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Address Line | 6401 POPLAR AVE SUITE 324
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City | MEMPHIS
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State | TN
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Zip | 38119-4823
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Country | US
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Telephone | 901-681-9600
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Fax | 901-681-9608
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Provider Business Mailing Address
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Address Line | 6401 POPLAR AVE SUITE 324
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City | MEMPHIS
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State | TN
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Zip | 38119-4823
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Country | US
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Telephone | 901-681-9600
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Fax | 901-681-9608
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KIM HURLEY
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Credential |
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Telephone | 901-681-9600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 20339
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License Number State | TN
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