Individual
KATIE LYNN BAZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
617 23RD ST STE 400, ASHLAND, KY 41101-2880
(606) 408-2820
(606) 329-1768
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010132
KY
363LF0000X
Family Nurse Practitioner
75708
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159983
—
OH
05
—
7100405420
—
KY
Enumeration date
02/22/2016
Last updated
09/09/2019
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