Provider Demographics
NPI:1710271937
Name:LUNCEFORD, KRISTI WININGER
Entity Type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:WININGER
Last Name:LUNCEFORD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1041 WALNUT GROVE CIR
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-8408
Mailing Address - Country:US
Mailing Address - Phone:859-582-0895
Mailing Address - Fax:859-626-0164
Practice Address - Street 1:1041 WALNUT GROVE CIR
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-8408
Practice Address - Country:US
Practice Address - Phone:859-582-0895
Practice Address - Fax:859-626-0164
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-06
Last Update Date:2011-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist