Healthcare Provider Details

I. General information

NPI: 1932035615
Provider Name (Legal Business Name): CHRISTINA A BISSCHOP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 S MAIN ST
LONDON KY
40741-1903
US

IV. Provider business mailing address

725 S MAIN ST
LONDON KY
40741-1903
US

V. Phone/Fax

Practice location:
  • Phone: 606-492-2198
  • Fax:
Mailing address:
  • Phone: 606-492-2198
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: