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Individual

KAREN LEA BYRD

Active
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Individual

KAREN LEA BYRD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
600047
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
196457
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7000907
NC
01
7770615
AETNA
01
B4293
MEDCOST
Enumeration date
11/30/2005
Last updated
10/27/2020
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