Healthcare Provider Details

I. General information

NPI: 1225498314
Provider Name (Legal Business Name): NATALEE L NEIKIRK APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/02/2016
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 BOGLE OFFICE PARK DR
SOMERSET KY
42503-2810
US

IV. Provider business mailing address

95 BOGLE OFFICE PARK DR
SOMERSET KY
42503-2810
US

V. Phone/Fax

Practice location:
  • Phone: 606-677-1451
  • Fax: 606-678-0814
Mailing address:
  • Phone: 606-677-1451
  • Fax: 606-678-0814

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3010180
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: