Provider Demographics
NPI:1861482598
Name:FRENCH, KIMBERLY N (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:N
Last Name:FRENCH
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MS
Other - First Name:KIMBERLY
Other - Middle Name:N
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:835 STATE ROUTE 1179
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:KY
Mailing Address - Zip Code:42462-5244
Mailing Address - Country:US
Mailing Address - Phone:270-389-6720
Mailing Address - Fax:270-389-4916
Practice Address - Street 1:835 STATE ROUTE 1179
Practice Address - Street 2:
Practice Address - City:WAVERLY
Practice Address - State:KY
Practice Address - Zip Code:42462-5244
Practice Address - Country:US
Practice Address - Phone:270-389-6720
Practice Address - Fax:270-389-4916
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3845P363L00000X
KY3003845363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78008687Medicaid
KY000000250384OtherBC
P77156Medicare UPIN
P77156Medicare UPIN