Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP0200X | Nurse Practitioner - Pediatrics | 1152235 | AL |
NPI | 1023591245 |
---|---|
Provider Name | Ms. Katherine Leigh Byrd |
First Address | Huntsville, AL 35816-3417 |
Second Address | Huntsville, AL 35816-3417 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/09/2018 |
Last Update Date | 18/10/2021 |