Trevathan, Krista J

Trevathan, Krista J is an individual health care provider with primary practice located at 2405 Harrodsburg Rd , Lexington KY 40504-3329. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Trevathan, Krista J can be contacted via phone (859) 278-9492.

Contact Information

Primary practice address
2405 Harrodsburg Rd Lexington KY 40504-3329
Phone: (859) 278-9492
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA238 Kentucky

Profile Details

NPI number 1548262090
LBN Legal business name Trevathan, Krista J
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 15th, 2005
Last updated Jul 19th, 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 1548262090 NPPES
Kentucky MEDICAID 65926933

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