Individual
ALICIA KRISTINE-PEARL SEIDL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP-PC
Contact information
Practice address
982 EASTERN PKWY, LOUISVILLE, KY 40217-1566
(502) 588-0700
(502) 588-7886
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 272-5754
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
3011225
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100668340
—
KY
Enumeration date
05/03/2018
Last updated
09/04/2024
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