Individual
KIMBERLY S EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
606 BURKESVILLE RD, ALBANY, KY 42602-1612
(606) 387-0675
(606) 387-3149
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010191
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100396930
—
KY
Enumeration date
04/20/2016
Last updated
07/07/2016
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