Individual
MRS. CYNETHIA LASHONDA MAE BETHEL-HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
Mailing address
234 AMY AVE, LOUISVILLE, KY 40212-2522
(502) 778-0001
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3006459
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100130310
—
KY
Enumeration date
07/21/2010
Last updated
10/10/2022
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