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NPI Code Detail

MEDICARE: KRISTIN FARNSLEY

MEDICARE: KRISTIN FARNSLEY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner3009522KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1215304167
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTIN FARNSLEY
Provider Business Mailing Address
First Line : 3903 VANTAGE PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-6801
Country : US
Telephone Number : 502-356-4377
Fax Number : 888-959-2460
Provider Business Practice Location Address
First Line : 3903 VANTAGE PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-6801
Country : US
Telephone Number : 502-356-4377
Fax Number : 888-959-2460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2015
Last Update Date : 07/21/2022

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Directions to “ KRISTIN FARNSLEY ” Practice Location

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