Provider Demographics
NPI:1760247720
Name:KINSOLVING, MELISSA S (APRN)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:S
Last Name:KINSOLVING
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:MISSY
Other - Middle Name:
Other - Last Name:KINSOLVING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4868 BUD LN
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40514-1416
Mailing Address - Country:US
Mailing Address - Phone:859-351-2324
Mailing Address - Fax:
Practice Address - Street 1:812 E HIGH ST
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40502-2107
Practice Address - Country:US
Practice Address - Phone:859-423-1887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016588363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner