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NPI Code Detail

MEDICARE: KIMBERLY CHRISTINE CASHION APRN

MEDICARE: KIMBERLY CHRISTINE CASHION APRN
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 Practitioner3003348KY

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 : 1396749156
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIMBERLY CHRISTINE CASHION APRN
Provider Business Mailing Address
First Line : 3903 VANTAGE PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-6801
Country : US
Telephone Number : 502-394-9459
Fax Number : 502-409-9662
Provider Business Practice Location Address
First Line : 3903 VANTAGE PL
Second Line :
City : LOUISVILLE
State : KY
Zip : 40299-6801
Country : US
Telephone Number : 502-394-9459
Fax Number : 502-409-9662
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2005
Last Update Date : 02/06/2013

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Directions to “ KIMBERLY CHRISTINE CASHION APRN” Practice Location

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