Individual
KASEY FAWBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
847 TAYLORSVILLE RD, TAYLORSVILLE, KY 40071-9771
(502) 588-8705
Mailing address
PO BOX 909, LOUISVILLE, KY 40201-0909
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012544
KY
363LF0000X
Family Nurse Practitioner
Primary
3012544
KY
363LP0200X
Pediatric Nurse Practitioner
3012544
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300033161
—
IN
05
—
7100562140
—
KY
Enumeration date
10/22/2018
Last updated
04/08/2025
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