Individual
MS. KATHYN MICHELE MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPHT
Contact information
Practice address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8169
Mailing address
1775 THOMPSON RD, COOS BAY, OR 97420-2125
(541) 269-8169
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
CPT-0001545
OR
Other
Enumeration date
01/14/2008
Last updated
01/14/2008
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