Organization · Type 2 NPI

Kentucky Integrative Autism Specialist

Nurse Practitioner · Paris, KY

NPI number 1508645359 Active

Practice location

3287 North Middletown Rd
Paris, KY 40361-2145

Fax (859) 788-6577

Mailing address

PO Box 116
North Middletown, KY 40357-0116

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000XNone listed

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…

Another provider at this address

About NPI 1508645359

Kentucky Integrative Autism Specialist's National Provider Identifier is 1508645359, issued on Sep 21, 2023. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Paris, KY. The record was last updated on Aug 11, 2026.