Bynum, Christopher Kelly

Bynum, Christopher Kelly is an individual health care provider with primary practice located at 910 S 4Th St , Montrose CO 81401-4226. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Bynum, Christopher Kelly can be contacted via phone (970) 249-6641.

Contact Information

Primary practice address
910 S 4Th St Montrose CO 81401-4226
Fax: (970) 249-5148
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 40526 Colorado

Profile Details

NPI number 1134112345
LBN Legal business name Bynum, Christopher Kelly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2005
Last updated Apr 8th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134112345 NPPES
Colorado MEDICAID 62858521

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