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General NPI Number Information
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NPI Number | 1932650124
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Entity Type | Individual
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Provider Name | KATHLEEN T GUEST APRN
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Gender | Female
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Dates
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Enumeration Date | 10/22/2016
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 1900 BLUEGRASS AVE STE 300
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City | LOUISVILLE
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State | KY
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Zip | 40215-1183
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Country | US
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Telephone | 502-361-1222
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Fax | 502-368-1258
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Provider Business Mailing Address
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Address Line | 100 E LIBERTY ST STE 800
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City | LOUISVILLE
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State | KY
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Zip | 40202-1428
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Country | US
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Telephone | 502-361-1222
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Fax | 502-368-1258
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 3010898
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License Number State | KY
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