Provider Demographics
NPI:1932876398
Name:HOLLCROFT, KIMBERLY (APRN)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:
Last Name:HOLLCROFT
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 1:2007 LIBERTY RD
Mailing Address - Street 2:
Mailing Address - City:BATTLETOWN
Mailing Address - State:KY
Mailing Address - Zip Code:40104-8407
Mailing Address - Country:US
Mailing Address - Phone:270-668-4788
Mailing Address - Fax:
Practice Address - Street 1:400 EXECUTIVE PARK
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40207-4204
Practice Address - Country:US
Practice Address - Phone:502-896-9877
Practice Address - Fax:502-896-9972
Is Sole Proprietor?:No
Enumeration Date:2021-08-24
Last Update Date:2021-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3016578363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily