Individual
KRISTY LYNN HULEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1461 N GARDNER ST, SCOTTSBURG, IN 47170-7751
(502) 584-2029
(502) 584-0873
Mailing address
PO BOX 950202, LOUISVILLE, KY 40295-0202
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4433P
KY
363L00000X
Nurse Practitioner
Primary
71001829A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000355237
ANTHEM
IN
01
—
000000796942
ANTHEM - NCVA
KY
01
—
141563
SIHO - NCVA
KY
01
—
196290002
MEDICARE - NCVA
IN
05
—
200186940A
—
IN
01
—
50044387
PASSPORT - NCVA
KY
01
—
7100164620
MEDICAID - NCVA
KY
Enumeration date
10/13/2005
Last updated
11/06/2015
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