Individual
MINDY SYDNOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
103 LANDMARK DR, BELLEVUE, KY 41073
(859) 655-6100
Mailing address
1401 MADISON AVE, COVINGTON, KY 41011-3313
(859) 655-6156
(859) 655-6148
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004342
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000342983
ANTHEM
KY
05
—
78013026
—
KY
01
—
NP342P
CHOICE CARE
KY
Enumeration date
07/18/2005
Last updated
09/06/2018
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