MEDICARE: KATHY J NOYES DNP, 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
1	363LA2100X	Acute Care Nurse Practitioner	NP-02608	OH
2	363LA2100X	Acute Care Nurse Practitioner	3002302	KY
3	363LF0000X	Family Nurse Practitioner	3002302	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	0534801	OTHER	KY	MEDICARE

Other Identifiers

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

General Provider Information

NPI Number	:	1902803901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHY J NOYES DNP, APRN

Provider Business Mailing Address
First Line	:	1503 JOLEE DRIVE
Second Line	:
City	:	HEBRON
State	:	KY
Zip	:	41048
Country	:	US
Telephone Number	:	513-314-4806
Fax Number	:	859-586-5924

Provider Business Practice Location Address
First Line	:	1503 JOLEE DRIVE
Second Line	:
City	:	HEBRON
State	:	KY
Zip	:	41048
Country	:	US
Telephone Number	:	513-314-4806
Fax Number	:	859-586-5924

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

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	12/29/2022

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