Provider Demographics
NPI:1831564137
Name:YARMAN, KRISTIN M (APRN)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:M
Last Name:YARMAN
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 ROSS CHAPEL
Mailing Address - Street 2:
Mailing Address - City:OLIVE HILL
Mailing Address - State:KY
Mailing Address - Zip Code:41164-4002
Mailing Address - Country:US
Mailing Address - Phone:606-316-9992
Mailing Address - Fax:877-550-1718
Practice Address - Street 1:213 ROSS CHAPEL
Practice Address - Street 2:
Practice Address - City:OLIVE HILL
Practice Address - State:KY
Practice Address - Zip Code:41164-4002
Practice Address - Country:US
Practice Address - Phone:606-316-9992
Practice Address - Fax:877-550-1718
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-11
Last Update Date:2023-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3009606363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3009606OtherLICENSE NUMBER