Provider Demographics
NPI:1114251477
Name:BYRNE, KEVIN PATRICK (MD)
Entity Type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:PATRICK
Last Name:BYRNE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:12073 WORLD TRADE DR
Mailing Address - Street 2:SUITE 3
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-4391
Mailing Address - Country:US
Mailing Address - Phone:858-472-6632
Mailing Address - Fax:858-613-0524
Practice Address - Street 1:12073 WORLD TRADE DR
Practice Address - Street 2:SUITE 3
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-4391
Practice Address - Country:US
Practice Address - Phone:858-472-6632
Practice Address - Fax:858-613-0524
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-18
Last Update Date:2010-05-04
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Provider Licenses
StateLicense IDTaxonomies
CAC51555207QS1201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS1201XAllopathic & Osteopathic PhysiciansFamily MedicineSleep Medicine