Basic Information
| Provider Information | |||||||||
| NPI: | 1700214210 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | SCEARSE | ||||||||
| FirstName: | KRISTY | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | APRN | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 246 | ||||||||
| Address2: | |||||||||
| City: | BLEDSOE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 40810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6062730670 | ||||||||
| FaxNumber: | 6065455572 | ||||||||
| Practice Location | |||||||||
| Address1: | 80 HOSPITAL DRIVE | ||||||||
| Address2: | |||||||||
| City: | BARBOURVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 409067262 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6065464175 | ||||||||
| FaxNumber: | 6065455572 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/18/2013 | ||||||||
| LastUpdateDate: | 10/18/2013 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363L00000X | 3008295 | KY | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
No ID Information.