Individual
MR. JOHN CHRISTIAN FYFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSN, RN, FNP, RRT
Contact information
Practice address
2406 W BROADWAY, LOUISVILLE, KY 40211-1008
(502) 775-1211
Mailing address
2406 W BROADWAY, LOUISVILLE, KY 40211-1008
(502) 775-1211
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
3018132
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300043470
—
IN
01
—
IN3604043
MEDICARE IN
IN
Enumeration date
08/12/2020
Last updated
12/16/2025
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