# KIMBERLY MICHELE KISEGY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1821273830
- **Gender:** F
- **Credential:** APRN

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3005185 | KY | Yes |
| 363LF0000X | Family Nurse Practitioner | 5185P | KY | — |

## Other

- **Enumeration date:** 01/09/2008
- **Last updated:** 07/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000770823 | ANTHEM - NOTC | KY |
| 01 | — | 136776 | SIHO - NOTC | KY |
| 01 | — | 50039556 | PASSPORT - NOTC | KY |
| 05 | — | 7100202790 | — | KY |