| Doctor Name: | MRS. BRENDA LEE BYRD |
| NPI Number: | 1366703696 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 3007452 |
| Business Practice Address: | 115 East Main Whitesburg, KY - 418587601 |
| Business Phone Number: | 6066332945 |
| Business Fax Number: | 6066330381 |
| Mailing Address: | 441 Gorman Hollow Rd, HAZARD |
| State: | KY |
| Postal Code: | 417012315 |
| Phone Number: | 6064392361 |
| Fax Number: | 6064390870 |
| NPI Enumeration Date: | 06/04/2012 |
| NPI Last Update Date: | 09/15/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 3007452 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |