MEDICARE: MRS. KRISTINA MICHELLE BYRD APRN, FNP-C

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
1	363LF0000X	Family Nurse Practitioner	3010501	KY

General Provider Information

NPI Number	:	1326498338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KRISTINA MICHELLE BYRD APRN, FNP-C

Provider Business Mailing Address
First Line	:	108 MANCHESTER SHOPPING CTR
Second Line	:
City	:	MANCHESTER
State	:	KY
Zip	:	40962-1401
Country	:	US
Telephone Number	:	606-658-6333
Fax Number	:	606-658-2173

Provider Business Practice Location Address
First Line	:	200 MULBERRY ST
Second Line	:
City	:	BOONEVILLE
State	:	KY
Zip	:	41314-7505
Country	:	US
Telephone Number	:	606-593-6023
Fax Number	:	606-593-6087

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2016
Last Update Date	:	04/23/2025

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