Individual
KAREN D EASTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C, CDE
Contact information
Practice address
4003 KRESGE WAY STE 400, LOUISVILLE, KY 40207-4652
(502) 895-4263
(502) 899-5488
Mailing address
5200 COMMERCE CROSSINGS DR FL 3, LOUISVILLE, KY 40229-2182
(502) 253-4900
(502) 489-5751
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3658P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A1101205
AMER ACAD NURSE PRACTITIO
—
Enumeration date
07/12/2006
Last updated
12/04/2019
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