Individual
KIRSTEN WYNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 596-5500
Mailing address
PO BOX 5328, COLUMBUS, GA 31906-0328
(706) 596-5500
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN259466
GA
Other
Enumeration date
08/23/2016
Last updated
08/23/2016
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