Individual
MS. KRISTA AMY FENNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP, CFNP
Contact information
Practice address
125 S 20TH ST, PADUCAH, KY 42001-7100
(270) 575-3247
Mailing address
PO BOX 497, AUGUSTA, AR 72006-0497
(870) 347-2534
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
KY 4059P
KY
Other
Enumeration date
11/02/2007
Last updated
06/07/2021
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