Individual
KRISTI KINGSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10 WHITE RIDGE CT, WASHINGTON, IN 47501-8909
(812) 789-6158
Mailing address
10 WHITE RIDGE CT, WASHINGTON, IN 47501-8909
(812) 789-6158
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28211975A
IN
363L00000X
Nurse Practitioner
Primary
71011049A
IN
363LF0000X
Family Nurse Practitioner
71011049A
IN
Other
Enumeration date
11/01/2020
Last updated
06/10/2022
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