Doctor Name: | KALI M LEWIS |
NPI Number: | 1144554916 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | APRN |
License Number: | 6155P |
Business Practice Address: | 201 S 5th St Bardstown, KY - 400041142 |
Business Phone Number: | 5023486309 |
Business Fax Number: | 5023482793 |
Mailing Address: | 201 S 5th St, BARDSTOWN |
State: | KY |
Postal Code: | 400041142 |
Phone Number: | 5023486309 |
Fax Number: | 5023482793 |
NPI Enumeration Date: | 09/28/2009 |
NPI Last Update Date: | 01/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 6155P |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |