Individual provider · Type 1 NPI
Kasondra Glynn Lewis, PMHNP-BC
Psychiatric/Mental Health Nurse Practitioner · London, KY
NPI number
1285232371
Active
Practice location
125 S Laurel Rd Ste 1
London, KY 40744-8300
Fax (863) 456-1301
Mailing address
125 S Laurel Rd
London, KY 40744-8300
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 1158287 (KY) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 4027957 (KY) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1285232371
Kasondra Glynn Lewis, PMHNP-BC's National Provider Identifier is 1285232371, issued on Oct 12, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in London, KY. The record was last updated on Dec 16, 2025.