Individual
HENRY B BYRUM JR.
Active
Individual
HENRY B BYRUM JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18003
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000350638
ANTHEM / NMA
—
01
—
000052155K
HUMANA / NMA
—
01
—
017043
SIHO / NMA
—
01
—
1170395
PASSPORT / NMA
—
01
—
11853
CHA / NMA
—
01
—
1452384003
CIGNA / NMA
—
05
—
200107110
—
IN
01
—
2440629000
PASSPORT ADVANTAGE / NMA
—
05
—
64810039
—
KY
01
—
P00212765
RAILROAD MEDICARE
KY
Enumeration date
04/18/2006
Last updated
07/13/2016
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