Individual
MABEL KYINN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4001 DUTCHMANS LN, LOUISVILLE, KY 40207-4714
(502) 629-2806
(502) 629-2519
Mailing address
PO BOX 776347, CHICAGO, IL 60677-6879
(502) 559-9337
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
59634
KY
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
59634
KY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2020
Last updated
08/01/2024
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