Individual
KENDRA MOULTON KRATZWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-2659
(859) 323-0295
Mailing address
900 S LIMESTONE CTW320, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3008777
KY
Other
Enumeration date
07/16/2014
Last updated
03/14/2019
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