Provider Demographics
NPI:1013548551
Name:FLEMING, CHRISTINA K
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:K
Last Name:FLEMING
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 1:1112 POPLAR LEVEL PLZ APT 26
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40217-1337
Mailing Address - Country:US
Mailing Address - Phone:423-863-1701
Mailing Address - Fax:
Practice Address - Street 1:1112 POPLAR LEVEL PLZ APT 26
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40217-1337
Practice Address - Country:US
Practice Address - Phone:423-863-1701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-03
Last Update Date:2020-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program