Individual
MRS. KASONDRA GLYNN LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
125 S LAUREL RD STE 1, LONDON, KY 40744-8300
(606) 770-5086
(863) 456-1301
Mailing address
125 S LAUREL RD, LONDON, KY 40744-8300
(606) 770-5086
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1158287
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4027957
KY
Other
Enumeration date
10/12/2020
Last updated
12/16/2025
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