Provider Demographics
NPI:1104038819
Name:BIRCHFIELD, PATRICIA CRAIN (DSN,ARNP)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:CRAIN
Last Name:BIRCHFIELD
Suffix:
Gender:F
Credentials:DSN,ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:171 LOUISIANA AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502-2332
Mailing Address - Country:US
Mailing Address - Phone:859-266-5542
Mailing Address - Fax:859-622-1972
Practice Address - Street 1:BLACKBURN CORRECTIONAL COMPLEX
Practice Address - Street 2:3111 SPURR RD.
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511
Practice Address - Country:US
Practice Address - Phone:859-246-2370
Practice Address - Fax:859-247-2376
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYARNP273P171M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator