=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508759028
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KASEE RASHELLLE PAXTON WHNP
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/02/2025
-----------------------------------------------------
Last Update Date | 06/02/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1313 N MAIN ST
-----------------------------------------------------
City | BEAVER DAM
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42320-8957
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-274-9928
-----------------------------------------------------
Fax | 270-274-0134
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 148
-----------------------------------------------------
City | HARTFORD
-----------------------------------------------------
State | KY
-----------------------------------------------------
Zip | 42347-0148
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 270-504-1910
-----------------------------------------------------
Fax | 270-298-3824
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number | 3012957
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 363LW0102X
-----------------------------------------------------
Taxonomy Name | Women's Health Nurse Practitioner
-----------------------------------------------------
License Number | 3012957
-----------------------------------------------------
License Number State | KY
-----------------------------------------------------