Individual
MRS. KRISTI JO GRIDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
432 LEXINGTON RD, VERSAILLES, KY 40383-1626
(859) 879-0272
Mailing address
916 LANE CIR, VERSAILLES, KY 40383-8691
(859) 229-3566
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3015772
KY
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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