Individual
KATHY WYNKOOP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1912 LINDQUIST ROAD, BUILDING 412, FORT STEWART, GA 31314
(912) 435-5517
Mailing address
293 CODY DRIVE, JESUP, GA 31545
(912) 530-6855
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
03/06/2006
Last updated
07/08/2007
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