Kathleen Flesch, RN

Individual provider Active NPI Administrator Registered Nurse · Ft Mitchell, KY

NPI 1801995121 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1801995121
Entity type
Individual (NPI type 1)
Primary specialty
Administrator Registered Nurse 163WA2000X
License
1036503 (KY)
Practice address
96 Burdsall Ave
Ft Mitchell, KY 41017-2824
Phone
(859) 331-4427
Fax
(859) 331-1735
NPI assigned
Sep 22, 2006
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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
1036503KYMDAdministrator Registered Nurse
137492OHMDAdministrator Registered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered Nurse 163WA2000X 1036503 KY Yes
Administrator Registered Nurse 163WA2000X 137492 OH

Addresses

Primary practice location

96 Burdsall Ave
Ft Mitchell, KY 41017-2824

Mailing address

PO Box 17925
Covington, KY 41017-0925
Phone (859) 331-4427

Other providers in Ft Mitchell, KY

All providers in Ft Mitchell, KY · Administrator Registered Nurse in Kentucky

Sources for this page

Verify at the official NPI Registry.