Individual
KATHY BYDALEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
5870 ALUMNI CIRCLE, MOBILE, AL 36608
(251) 460-7151
(251) 414-8227
Mailing address
5870 ALUMNI CIRCLE, MOBILE, AL 36608
(251) 460-7151
(251) 414-8227
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1-058199
AL
363LF0000X
Family Nurse Practitioner
R817185
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00119200
—
MS
Enumeration date
03/14/2006
Last updated
02/02/2021
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