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Individual

KATHLEEN T GUEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1900 BLUEGRASS AVE STE 300, LOUISVILLE, KY 40215-1183
(502) 361-1222
(502) 368-1258
Mailing address
100 E LIBERTY ST STE 800, LOUISVILLE, KY 40202-1428
(502) 361-1222
(502) 368-1258

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010898
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
300055441
IN
05
7100450680
KY
Enumeration date
10/22/2016
Last updated
10/18/2021
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