Kristy Yates, LPN
Individual provider Active NPI Licensed Practical Nurse · Coxs Creek, KY
NPI 1306234588 · NPPES record last updated Dec 22, 2014
Key facts
- NPI
- 1306234588
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 2045647 (KY)
- Practice address
- 3223 Murrays Run Rd
Coxs Creek, KY 40013-7761 - Phone
- (502) 294-8964
- NPI assigned
- Dec 22, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2045647 | KY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 2045647 | KY | Yes |
Addresses
Primary practice location
3223 Murrays Run Rd
Coxs Creek, KY 40013-7761
Mailing address
3223 Murrays Run Rd
Coxs Creek, KY 40013-7761
Phone (502) 294-8964
Other providers in Coxs Creek, KY
All providers in Coxs Creek, KY · Licensed Practical Nurse in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.