Provider Demographics
NPI:1275232209
Name:RODRIGUEZ-GUERRANT, KATHERINE LAURA BREEDEN (DNP, APRN)
Entity Type:Individual
Prefix:DR
First Name:KATHERINE
Middle Name:LAURA BREEDEN
Last Name:RODRIGUEZ-GUERRANT
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:LAURA
Other - Last Name:BREEDEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:480 INDIAN MOUND DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT STERLING
Mailing Address - State:KY
Mailing Address - Zip Code:40353-1094
Mailing Address - Country:US
Mailing Address - Phone:859-398-2001
Mailing Address - Fax:
Practice Address - Street 1:480 INDIAN MOUND DR
Practice Address - Street 2:
Practice Address - City:MOUNT STERLING
Practice Address - State:KY
Practice Address - Zip Code:40353-1094
Practice Address - Country:US
Practice Address - Phone:859-398-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3017998363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily