Individual
KYNA WYN PATRICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
KYNA PATRICK
Contact information
Practice address
5400 W PARMER LN, APT 1417, AUSTIN, TX 78727-3909
(512) 393-9955
Mailing address
5400 W PARMER LN, APT 1417, AUSTIN, TX 78727-3909
(512) 393-9955
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
10952649
TX
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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