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NPI Code Detail

MEDICARE: JEANNIE KILPELA APRN

MEDICARE: JEANNIE KILPELA APRN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3007007KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1619265493
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEANNIE KILPELA APRN
Provider Business Mailing Address
First Line : 430 E PLEASANT ST
Second Line :
City : CYNTHIANA
State : KY
Zip : 41031-1816
Country : US
Telephone Number : 859-234-3282
Fax Number : 859-234-9400
Provider Business Practice Location Address
First Line : 430 E PLEASANT ST
Second Line :
City : CYNTHIANA
State : KY
Zip : 41031-1816
Country : US
Telephone Number : 859-234-3282
Fax Number : 859-234-9400
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2011
Last Update Date : 03/25/2025

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Directions to “ JEANNIE KILPELA APRN” Practice Location

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