Provider Demographics
NPI:1679551600
Name:KRYN, EDWARD T (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:T
Last Name:KRYN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 190
Mailing Address - Street 2:
Mailing Address - City:CLAYTON
Mailing Address - State:NC
Mailing Address - Zip Code:27528-0190
Mailing Address - Country:US
Mailing Address - Phone:919-553-1911
Mailing Address - Fax:919-553-3993
Practice Address - Street 1:101 WINDING WOOD DR
Practice Address - Street 2:
Practice Address - City:CLAYTON
Practice Address - State:NC
Practice Address - Zip Code:27520-4493
Practice Address - Country:US
Practice Address - Phone:919-553-1911
Practice Address - Fax:919-553-3993
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9400550207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine