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General NPI Number Information
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NPI Number | 1619762549
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Entity Type | Individual
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Provider Name | KYLIE FENTON APRN, CNM
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Gender | Female
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Dates
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Enumeration Date | 04/11/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 245 FLEMINGSBURG RD STE A340
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City | MOREHEAD
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State | KY
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Zip | 40351-1563
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Country | US
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Telephone | 606-207-2931
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Fax |
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Provider Business Mailing Address
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Address Line | 245 FLEMINGSBURG RD STE A340
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City | MOREHEAD
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State | KY
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Zip | 40351-1563
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Country | US
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Telephone | 606-207-2931
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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 | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | APRN.CNM.0019671
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4049083
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License Number State | KY
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