Most Relevant Information
Provider Data
| NPI Number: | 1003366816 |
| Provider Name: | KRISTINE C DISIBIO APRN |
| Entity Type: | Individual |
| Taxonomy Code: | 363LF0000X |
| Specialty: | Nurse Practitioner |
| License Number: | 3010742 |
Most Important Dates
| Enumeration Date: | 10/05/2016 |
| Last Updated: | 10/05/2016 |
Provider Practice Location
11745 MADISON PIKE
INDEPENDENCE
KY
410518637
Practice Location Phone/Fax
| Phone: | 8593563941 |
| Fax: | 8593560338 |
Provider Mailing Location
11745 MADISON PIKE
INDEPENDENCE
KY
410518637
Provider Mailing Phone/Fax
| Phone: | 8593563941 |
| Fax: | 8593560338 |