Healthcare Provider Details

I. General information

NPI: 1639183783
Provider Name (Legal Business Name): KRISTI SUZANNE DAY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTI SUZANNE ROBINSON MD

II. Dates (important events)

Enumeration Date: 07/27/2006
Last Update Date: 12/03/2020
Certification Date: 12/03/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1740 NICHOLASVILLE RD
LEXINGTON KY
40503-1431
US

IV. Provider business mailing address

PO BOX 910670
LEXINGTON KY
40591-0670
US

V. Phone/Fax

Practice location:
  • Phone: 859-260-6348
  • Fax: 859-260-4350
Mailing address:
  • Phone: 859-260-4385
  • Fax: 859-260-4386

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number41329
License Number StateKY
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number41329
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: