Individual
KRISTEN LONGINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
3903 VANTAGE PL, LOUISVILLE, KY 40299-6801
(502) 657-1076
Mailing address
3903 VANTAGE PL, LOUISVILLE, KY 40299-6801
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010115
KY
Other
Enumeration date
02/16/2016
Last updated
02/16/2016
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