Irvin, Kristi Marie

Irvin, Kristi Marie is an individual health care provider with primary practice located at 810 Jamestown St , Columbia KY 42728-1010. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Irvin, Kristi Marie can be contacted via phone (270) 384-4764.

Contact Information

Primary practice address
810 Jamestown St Columbia KY 42728-1010
Phone: (270) 384-4764
Fax: (270) 384-2828
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3016322 Kentucky

Profile Details

NPI number 1558036384
LBN Legal business name Irvin, Kristi Marie
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 13th, 2021
Last updated Mar 1st, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558036384 NPPES
Kentucky MEDICAID 7100762040

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