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NPI Code Detail

MEDICARE: PATRICIA A. KIGHT PEDIATRIC NP LOCUMS

MEDICARE: PATRICIA A. KIGHT PEDIATRIC NP LOCUMS
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
1363LP0200XPediatric Nurse Practitioner0000000 CONFIDENTIALNV

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 : 1932309721
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A. KIGHT PEDIATRIC NP LOCUMS
Provider Business Mailing Address
First Line : 212 N 2ND ST STE 100
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1408
Country : US
Telephone Number : 606-303-5355
Fax Number :
Provider Business Practice Location Address
First Line : 212 N 2ND ST STE 100
Second Line :
City : RICHMOND
State : KY
Zip : 40475-1408
Country : US
Telephone Number : 606-303-5355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/20/2007
Last Update Date : 01/27/2024

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