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Kimberly Gastenveld
Family Nurse Practitioner in Covington, Kentucky
NPI 1184168247

Kimberly Gastenveld is a Family Nurse Practitioner based in Newport, KY and is specialized in Family. Kimberly Gastenveld practices in Covington, KY. The NPI Number for Kimberly Gastenveld is 1184168247 and holds a License No. 3010950 (Kentucky).

The current practice location address for Kimberly Gastenveld is 1401 Madison Ave, Covington, KY and can be reached out via phone at 859-655-6100 and via fax at 859-655-6148.

Location: 1401 Madison Ave, Covington, KY, 41071-2203
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1184168247
Provider Name
Kimberly Gastenveld
Credential
Provider Entity Type
Individual
Gender
Female
Address
1401 Madison Ave, Covington, KY, 41071-2203
Phone Number
859-655-6100
Fax Number
859-655-6148
Provider Enumeration Date
12/08/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3010950 01 KY KY LICENSE
institution
Provider Business Practice Location Address Details
Address
1401 Madison Ave
City
Covington
State
Kentucky
Zip
41011-3313
Phone Number
859-655-6100
Fax Number
859-655-6148
person
Provider Business Mailing Address Details
Address
1401 Madison Ave
City
Covington
State
Kentucky
Zip
41011-3313
Phone Number
859-655-6100
Fax Number
859-655-6148
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3010950 (Kentucky)
Definition
Definition to come...
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