Individual
KALI M LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-6309
(502) 348-2793
Mailing address
201 S 5TH ST, BARDSTOWN, KY 40004-1142
(502) 348-6309
(502) 348-2793
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3006155
KY
363LP0200X
Pediatric Nurse Practitioner
6155P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100088400
—
KY
Enumeration date
09/28/2009
Last updated
02/07/2024
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