MEDICARE: KATHRYN NOEL BYNUM APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207VG0400X	Gynecology Physician	220801	OK

General Provider Information

NPI Number	:	1578420352
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN NOEL BYNUM APRN

Provider Business Mailing Address
First Line	:	7031 E 58TH PL
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74145-8204
Country	:	US
Telephone Number	:	918-688-0369
Fax Number	:

Provider Business Practice Location Address
First Line	:	2448 E 81ST ST STE 1250
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74137-4348
Country	:	US
Telephone Number	:	918-982-6250
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2026
Last Update Date	:	01/05/2026

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Directions to “ KATHRYN NOEL BYNUM APRN” Practice Location

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