Individual
KALYN NICOLE CHURCHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12615 TAYLORSVILLE RD STE A, LOUISVILLE, KY 40299-4452
(502) 261-1595
(502) 261-1590
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 559-9407
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017857
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300065508
—
IN
05
—
7100832580
—
KY
Enumeration date
06/22/2022
Last updated
06/04/2026
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