Gordon, Karyn Bayyinah

Gordon, Karyn Bayyinah is an individual health care provider with primary practice located at 2295 E 14Th St Ste 100, Winston Salem NC 27105-6804. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Gordon, Karyn Bayyinah can be contacted via phone (336) 716-2255.

Contact Information

Primary practice address
2295 E 14Th St Ste 100 Winston Salem NC 27105-6804
Fax: (336) 725-2173
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 98-00875 North Carolina

Profile Details

NPI number 1144213414
LBN Legal business name Gordon, Karyn Bayyinah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Apr 21st, 2011 - about 15 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 1144213414 NPPES
North Carolina MEDICAID 7910406

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