Individual
KATHERINE JOELLEN DUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, APRN, NP-C
Contact information
Practice address
7926 PRESTON HWY STE 106, LOUISVILLE, KY 40219-3848
(502) 964-4357
(502) 966-5948
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013126
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300023864
—
IN
05
—
7100586180
—
KY
01
—
K292710
MEDICARE
KY
Enumeration date
02/15/2019
Last updated
02/09/2023
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