Healthcare Provider Details

I. General information

NPI: 1477191823
Provider Name (Legal Business Name): KATHLEEN REBECCA FEIGHERY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2019
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1955 DIXIE HWY STE D
FT WRIGHT KY
41011-2882
US

IV. Provider business mailing address

2139 AUBURN AVENUE ATTN: PAYOR ENROLLMENT 4-7
CINCINNATI OH
45219
US

V. Phone/Fax

Practice location:
  • Phone: 859-341-5757
  • Fax: 859-331-4757
Mailing address:
  • Phone: 513-351-9900
  • Fax: 513-366-4491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number3013871
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3013871
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: