Individual
MR. BYRON D UNDERWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
455 BOONE TRAIL RD, DANVILLE, KY 40422-1549
(859) 329-9105
Mailing address
PO BOX 1033, DANVILLE, KY 40423-1033
(859) 329-9105
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
1039549
KY
Other
Enumeration date
02/05/2009
Last updated
02/05/2009
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