Individual
CANDICE DAWN FALLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
UK DIVISION OF CARDIOLOGY, 900 S. LIMESTONE ST., CTW320, LEXINGTON, KY 40536-0200
(859) 323-3976
(859) 257-6060
Mailing address
UK DIVISION OF CARDIOLOGY, 900 S. LIMESTONE ST., CTW320, LEXINGTON, KY 40536-0200
(859) 257-6060
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5105P
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
3005105
KY
363LA2100X
Acute Care Nurse Practitioner
5105P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000667607
ANTHEM
KY
05
—
7100020930
—
KY
Enumeration date
06/14/2007
Last updated
05/29/2014
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