Individual
KIMBERLY DEJOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
3175 BEAUMONT CENTRE CIR, LEXINGTON, KY 40513-1957
(859) 219-5152
Mailing address
1428 COPPER GLEN DR, LEXINGTON, KY 40514-1297
(859) 552-8799
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3012408
KY
363LF0000X
Family Nurse Practitioner
Primary
3012408
KY
Other
Enumeration date
05/22/2018
Last updated
11/07/2022
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