Provider Demographics
NPI:1043466501
Name:BUCHIGNANI, KRISTEN R (MS, CCC/SLP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:R
Last Name:BUCHIGNANI
Suffix:
Gender:F
Credentials:MS, CCC/SLP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 AMBERLEY DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40515-4774
Mailing Address - Country:US
Mailing Address - Phone:270-839-7367
Mailing Address - Fax:
Practice Address - Street 1:480 AMBERLEY DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40515-4774
Practice Address - Country:US
Practice Address - Phone:270-839-7367
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-14
Last Update Date:2017-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY-08-053235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist