Individual
KIMBERLY BYNUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6639 SOUTHPOINT PKWY, JACKSONVILLE, FL 32216-8041
(904) 674-8664
Mailing address
6639 SOUTHPOINT PKWY, JACKSONVILLE, FL 32216-8041
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5222991
FL
Other
Enumeration date
06/18/2022
Last updated
06/18/2022
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