Provider Demographics
NPI:1477268746
Name:AYRES, KATHRYN TAYLOR (APRN, FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:TAYLOR
Last Name:AYRES
Suffix:
Gender:F
Credentials:APRN, FNP-C
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Mailing Address - Street 1:PO BOX 1099
Mailing Address - Street 2:
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42302-1099
Mailing Address - Country:US
Mailing Address - Phone:423-339-2320
Mailing Address - Fax:423-339-2321
Practice Address - Street 1:83 BALLPARK RD
Practice Address - Street 2:
Practice Address - City:HARDINSBURG
Practice Address - State:KY
Practice Address - Zip Code:40143-4859
Practice Address - Country:US
Practice Address - Phone:270-580-4778
Practice Address - Fax:270-580-4779
Is Sole Proprietor?:No
Enumeration Date:2023-01-20
Last Update Date:2024-02-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN71013555A363L00000X
KY3018832363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner