Individual
CASEY MINGUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-6047
(859) 257-3873
Mailing address
258 VICKSBURG DR, NICHOLASVILLE, KY 40356-2025
(502) 316-0235
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1142734
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
4009283
KY
Other
Enumeration date
06/30/2023
Last updated
09/07/2023
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