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Individual

KERRY WAYNE BYRNES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 255-9630
Mailing address
1200 S FARMERVILLE ST, RUSTON, LA 71270-5941
(318) 255-9630

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
199989
LA

Other

Enumeration date
10/23/2006
Last updated
10/16/2009
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