Individual
KATHERINE LEE BUSHONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, ARNP
Contact information
Practice address
320 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017-3410
(859) 341-4266
(859) 341-9532
Mailing address
111 WELLINGTON PL, CINCINNATI, OH 45219-1758
(513) 961-4700
(513) 961-1912
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2635P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000194047
ANTHEM
—
05
—
78007119
—
KY
Enumeration date
09/01/2006
Last updated
07/08/2007
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