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Individual

DR. KATHY BYUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017
Mailing address
5544 GREENWICH RD STE 200, VIRGINIA BEACH, VA 23462-6563
(757) 466-0089
(757) 466-8017

Taxonomy

Speciality
Code
Description
License number
State
2085N0904X
Nuclear Radiology Physician
0101239788
VA
2085R0202X
Diagnostic Radiology Physician
Primary
0101239788
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10007907
SENTARA
VA
05
1033222849
VA
01
139178
BCBS
VA
05
5907721
NC
01
P00352136
RR MEDICARE
VA
Enumeration date
08/16/2006
Last updated
02/07/2014
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