Individual
KIMBERLY DENISE EAST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN-WHNP-BC
Contact information
Practice address
160 N EAGLE CREEK DR, SUITE 400, LEXINGTON, KY 40509-2121
(859) 258-5220
(859) 258-5405
Mailing address
160 N EAGLE CREEK DR, STE 400, LEXINGTON, KY 40509-2121
(859) 258-5220
(859) 258-5405
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
1358P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0169
LC MEDICARE GROUP ID
KY
05
—
78001278
—
KY
05
—
78902798
—
KY
Enumeration date
11/28/2006
Last updated
03/28/2013
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