Individual
KIMBERLY ANN LANGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
135 WADE OWENS ROAD, STANFORD, KY 40484
(606) 669-6006
(606) 661-0141
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015103
KY
363LF0000X
Family Nurse Practitioner
57107
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14968533
CAQH
KY
05
—
7100695460
—
KY
Enumeration date
09/02/2020
Last updated
07/22/2024
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