Knisely, Kristina L

Knisely, Kristina L is an individual health care provider with primary practice located at 1301 Ring Rd , Elizabethtown KY 42701-8968. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Knisely, Kristina L can be contacted via phone (270) 765-2107.

Contact Information

Primary practice address
1301 Ring Rd Elizabethtown KY 42701-8968
Phone: (270) 765-2107
Fax: (270) 769-9642
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 32107 Kentucky

Profile Details

NPI number 1104881622
LBN Legal business name Knisely, Kristina L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2006
Last updated Sep 27th, 2022 - about 2 years ago

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 1104881622 NPPES
Other 008892 SIHO / NCMA
MEDICAID 64321078 SIHO / NCMA
Other 2435270000 SIHO / NCMA
Other 000023044B SIHO / NCMA
Other 00000065596 SIHO / NCMA
Other 1076419 SIHO / NCMA
Other 2192467001 SIHO / NCMA

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