Individual
JILL KIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
710 N CAROL MALONE BLVD, GRAYSON, KY 41143-1126
(606) 474-0669
(606) 474-0376
Mailing address
710 N CAROL MALONE BLVD, GRAYSON, KY 41143-1126
(606) 474-0669
(606) 474-0376
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4760P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000383612
BLUE CROSS
KY
01
—
4760P
STATE LICENSE
KY
Enumeration date
08/05/2006
Last updated
08/30/2007
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