Individual
DANA NICHOLE PARKER-KIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4123 OLYMPIC BLVD STE 150, EDGEWOOD, KY 41018-3508
(859) 301-2999
(859) 301-2997
Mailing address
200 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3408
(859) 301-2999
(859) 301-2997
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010870
KY
Other
Enumeration date
07/12/2017
Last updated
07/21/2022
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