Individual
MRS. YOLANDA S TYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
416 CENTRAL AVENUE, GRAVES COUNTY HEALTH DEPARTMENT, MAYFIELD, KY 42066
(270) 247-3553
(270) 247-0392
Mailing address
907 OAK LEVEL RD, BENTON, KY 42025-5391
(270) 703-0390
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2145P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20079018
—
KY
Enumeration date
12/02/2005
Last updated
01/30/2017
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