Provider Demographics
NPI:1740350347
Name:CONLEY, CHRISTINA KNOX (APRN, CPNP-PC)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:KNOX
Last Name:CONLEY
Suffix:
Gender:F
Credentials:APRN, CPNP-PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:138 LEADER AVE
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40506-9983
Mailing Address - Country:US
Mailing Address - Phone:859-323-0396
Mailing Address - Fax:859-257-1888
Practice Address - Street 1:800 ROSE ST STE C400
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-1835
Practice Address - Country:US
Practice Address - Phone:859-323-4659
Practice Address - Fax:859-323-5971
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2017-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3004920363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics