Individual provider · Type 1 NPI

Pathrusim Levi Keaffaber, CNP

Nurse Practitioner · Prestonsburg, KY

NPI number 1225993223 Active

Practice location

5000 KY-321
Prestonsburg, KY 41653

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner	363L00000X	82693 (WV)
Nurse Practitioner Primary	363L00000X	4049598 (KY)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1225993223

Pathrusim Levi Keaffaber, CNP's National Provider Identifier is 1225993223, issued on Dec 22, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Prestonsburg, KY. The record was last updated on Dec 22, 2025.