Individual
KRISTIN NICOLE TYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2601 KENTUCKY AVE STE 102, PADUCAH, KY 42003-3817
(270) 575-8462
(270) 443-0235
Mailing address
2601 KENTUCKY AVE STE 102, PADUCAH, KY 42003-3817
(270) 575-8462
(270) 443-0235
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012409
KY
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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