Individual
MEAGAN KOMONDOREAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-AC
Contact information
Practice address
740 S LIMESTONE STE 201, LEXINGTON, KY 40536-3079
(859) 218-2522
(859) 323-3918
Mailing address
800 ROSE ST # MS 475, LEXINGTON, KY 40536-3078
(859) 323-5625
(859) 323-5289
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
3016418
KY
363LP0200X
Pediatric Nurse Practitioner
AP139810
TX
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
3016418
KY
Other
Enumeration date
05/30/2019
Last updated
08/30/2022
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