Healthcare Provider Details

I. General information

NPI: 1841509601
Provider Name (Legal Business Name): CHRISTA K. DOWELL APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2010
Last Update Date: 12/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9798 S HWY 259
MCDANIELS KY
40152
US

IV. Provider business mailing address

9798 S HWY 259
MCDANIELS KY
40152
US

V. Phone/Fax

Practice location:
  • Phone: 270-902-4411
  • Fax:
Mailing address:
  • Phone: 270-902-4411
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number6651P
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: