Provider Demographics
NPI:1932309721
Name:KIGHT, PATRICIA A (PEDIATRIC NP LOCUMS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:KIGHT
Suffix:
Gender:F
Credentials:PEDIATRIC NP LOCUMS
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:KIGHT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:C-PNP LOCUMS/TRAVEL
Mailing Address - Street 1:212 N 2ND ST STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:KY
Mailing Address - Zip Code:40475-1408
Mailing Address - Country:US
Mailing Address - Phone:606-303-5355
Mailing Address - Fax:
Practice Address - Street 1:212 N 2ND ST STE 100
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:KY
Practice Address - Zip Code:40475-1408
Practice Address - Country:US
Practice Address - Phone:606-303-5355
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-20
Last Update Date:2024-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0000000 CONFIDENTIAL363LP0200X
NC0000000 CONFIDENTIAL363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1932309721Medicaid
NVV107702Medicare PIN