Individual
KAILYN MARIE BUNDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5126
(256) 533-0833
Mailing address
502 GOVERNORS DR SW, HUNTSVILLE, AL 35801-5126
(256) 533-0833
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-161507
AL
Other
Enumeration date
06/20/2021
Last updated
10/15/2024
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