Provider Demographics
NPI:1457501751
Name:FRANCESCON, KATHRYN G (APRN)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:G
Last Name:FRANCESCON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:KATIE
Other - Middle Name:G
Other - Last Name:FRANCESCON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN,OCN
Mailing Address - Street 1:2620 ELM HILL PIKE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37214-3108
Mailing Address - Country:US
Mailing Address - Phone:615-425-4211
Mailing Address - Fax:615-425-4201
Practice Address - Street 1:5751 PRESTON HWY
Practice Address - Street 2:SUITE 101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40219
Practice Address - Country:US
Practice Address - Phone:502-807-4110
Practice Address - Fax:888-449-5151
Is Sole Proprietor?:No
Enumeration Date:2008-09-23
Last Update Date:2018-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY5775P363L00000X
KY3005775363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY7100064160Medicaid
KY1307431Medicare PIN