Individual
MRS. KRISTI LEIGH TINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHNP-C
Contact information
Practice address
1023 NEW MOODY LN, STE 103, LA GRANGE, KY 40031-9177
(502) 222-5558
(502) 222-3040
Mailing address
2700 STANLEY GAULT PKWY, SUITE 129, LOUISVILLE, KY 40223-5132
(502) 253-4917
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
6257P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100261810
—
KY
Enumeration date
01/22/2010
Last updated
12/03/2020
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