Healthcare Provider Details

I. General information

NPI: 1528391596
Provider Name (Legal Business Name): MELISSA KAY FITZPATRICK ARNP, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELISSA KAY WILDING APRN

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 11/10/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UK DIVISION OF PULMONARY 740 S. LIMESTONE, L543 KY CLINIC
LEXINGTON KY
40536-0284
US

IV. Provider business mailing address

UK DIVISION OF PULMONARY 740 S. LIMESTONE, L543 KY CLINIC
LEXINGTON KY
40536-0284
US

V. Phone/Fax

Practice location:
  • Phone: 859-323-9555
  • Fax: 859-323-9286
Mailing address:
  • Phone: 859-323-9555
  • Fax: 859-323-9286

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3006164
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: