Mcintosh, Kristy G

Mcintosh, Kristy G is an individual health care provider with primary practice located at 428 Oakview Dr , Greenville KY 42345-1812. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Mcintosh, Kristy G can be contacted via phone (270) 977-2703.

Contact Information

Primary practice address
428 Oakview Dr Greenville KY 42345-1812
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005985 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0000026334 Tennessee

Profile Details

NPI number 1750611521
LBN Legal business name Mcintosh, Kristy G
Credentials DNP, APRN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2009
Last updated Jun 6th, 2024 - about 5 months 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 1750611521 NPPES
Kentucky MEDICAID 7100205760

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