Individual
KRISTY A BRUINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
166 PASADENA DR, LEXINGTON, KY 40503-2973
(859) 278-0319
(859) 278-2750
Mailing address
PO BOX 910670, LEXINGTON, KY 40591-0670
(859) 971-4685
(859) 971-4604
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3004947
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78017084
—
KY
Enumeration date
09/20/2006
Last updated
06/13/2013
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