Individual
KRISTEN GAYLE FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(502) 327-9100
(855) 632-8329
Mailing address
9510 ORMSBY STATION RD STE 100, LOUISVILLE, KY 40223-4082
(502) 327-9100
(855) 632-8329
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012661
KY
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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