Healthcare Provider Details

I. General information

NPI: 1932309721
Provider Name (Legal Business Name): PATRICIA A. KIGHT PEDIATRIC NP LOCUMS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PATRICIA KIGHT C-PNP LOCUMS/TRAVEL

II. Dates (important events)

Enumeration Date: 07/20/2007
Last Update Date: 01/27/2024
Certification Date: 01/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

212 N 2ND ST STE 100
RICHMOND KY
40475-1408
US

IV. Provider business mailing address

212 N 2ND ST STE 100
RICHMOND KY
40475-1408
US

V. Phone/Fax

Practice location:
  • Phone: 606-303-5355
  • Fax:
Mailing address:
  • Phone: 606-303-5355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number0000000 CONFIDENTIAL
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: