Individual
KRISTEN PREDMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
842 E MOUNTAIN PKWY, SALYERSVILLE, KY 41465-8378
(606) 349-8100
(606) 349-8150
Mailing address
PO BOX 280, PRESTONSBURG, KY 41653-0280
(606) 349-7474
(606) 349-7737
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3013743
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100617960
—
KY
Enumeration date
03/25/2019
Last updated
08/28/2019
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