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NPI 1457950016

NPI 1457950016 : KRISTEN SCHORCH DNP, APRN, CPNP-AC : LOUISVILLE, KY

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General NPI Number Information
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    NPI Number           |    1457950016
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    Entity Type          |    Individual 
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    Provider Name        |    KRISTEN SCHORCH DNP, APRN, CPNP-AC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/23/2020
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    Last Update Date     |    10/23/2020
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Provider Practice Location Address
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    Address Line         |    411 E CHESTNUT ST FL 5 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40202-1713
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    Country              |    US
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    Telephone            |    502-588-0390
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10105 MARY DELL LN 
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    City                 |    LOUISVILLE
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    State                |    KY
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    Zip                  |    40299-1230
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    Country              |    US
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    Telephone            |    502-457-3965
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    3015347
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    License Number State |    KY
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Taxonomy #2
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    Taxonomy Code        |    363LA2100X
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    Taxonomy Name        |    Acute Care Nurse Practitioner
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    License Number       |    3015347
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    License Number State |    KY
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Taxonomy #3
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    Taxonomy Code        |    363LP0200X
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    Taxonomy Name        |    Pediatric Nurse Practitioner
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    License Number       |    3015347
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    License Number State |    KY
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