1326498338 NPI number — MRS. KRISTINA MICHELLE BYRD APRN, FNP-C

Table of content: MRS. KRISTINA MICHELLE BYRD APRN, FNP-C (NPI 1326498338)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1326498338 NPI number — MRS. KRISTINA MICHELLE BYRD APRN, FNP-C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BYRD
Provider First Name:
KRISTINA
Provider Middle Name:
MICHELLE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
APRN, FNP-C
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
BURCHFIELD
Provider Other First Name:
KRISTINA
Provider Other Middle Name:
MICHELLE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1326498338
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/23/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
108 MANCHESTER SHOPPING CTR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
MANCHESTER
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40962-1401
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
606-658-6333
Provider Business Mailing Address Fax Number:
606-658-2173

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
200 MULBERRY ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BOONEVILLE
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
41314-7505
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
606-593-6023
Provider Business Practice Location Address Fax Number:
606-593-6087
Provider Enumeration Date:
06/21/2016

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363LF0000X , with the licence number:  3010501 , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com