Provider Demographics
NPI:1003467077
Name:HOBSON, CHRISTIE
Entity Type:Individual
Prefix:
First Name:CHRISTIE
Middle Name:
Last Name:HOBSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10363 REGINA BELCHER HWY
Mailing Address - Street 2:
Mailing Address - City:ELKHORN CITY
Mailing Address - State:KY
Mailing Address - Zip Code:41522-8510
Mailing Address - Country:US
Mailing Address - Phone:606-220-8331
Mailing Address - Fax:606-282-4389
Practice Address - Street 1:10363 REGINA BELCHER HWY
Practice Address - Street 2:
Practice Address - City:ELKHORN CITY
Practice Address - State:KY
Practice Address - Zip Code:41522-8510
Practice Address - Country:US
Practice Address - Phone:606-220-8331
Practice Address - Fax:606-282-4389
Is Sole Proprietor?:No
Enumeration Date:2019-09-21
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3014041363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily