MEDICARE: JUDITH A. KNUEVEN ARNP

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	163WP0809X	Adult Psychiatric/Mental Health Registered Nurse	1044955	KY
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	2004S	KY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	065807	OTHER	KY	VALUE OPTIONS
2	1200886	OTHER	KY	CHA HEALTH
3	0000000294182	OTHER	KY	ANTHEM
4	9134156	OTHER	KY	PHCS

General Provider Information

NPI Number	:	1528017241
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDITH A. KNUEVEN ARNP

Provider Business Mailing Address
First Line	:	2380 GRANDVIEW DR
Second Line	:
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-1633
Country	:	US
Telephone Number	:	859-331-7234
Fax Number	:	859-578-7986

Provider Business Practice Location Address
First Line	:	2380 GRANDVIEW DR
Second Line	:
City	:	FT MITCHELL
State	:	KY
Zip	:	41017-1633
Country	:	US
Telephone Number	:	859-331-7234
Fax Number	:	859-578-7986

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

Provider Enumeration Date	:	05/09/2006
Last Update Date	:	09/11/2025

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