Individual
KIMBERLY JO FISCANTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
213 MIDLAND BLVD, SHELBYVILLE, KY 40065-7791
(502) 647-5341
(502) 633-4043
Mailing address
213 MIDLAND BLVD, SHELBYVILLE, KY 40065-7791
(502) 647-5341
(502) 633-4043
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2047312
KY
Other
Enumeration date
05/03/2019
Last updated
05/03/2019
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