Individual provider · Type 1 NPI

Kathryn Moore Keathley, APRN

Nurse Practitioner · Greendale, IN

NPI number 1649642406 Active

Practice location

1640 Flossie Dr
Greendale, IN 47025-8424

Fax (812) 537-0400

Mailing address

PO Box 635283
Cincinnati, OH 45263-5283

Specialties and licenses

TaxonomyCodeLicense
Family Nurse Practitioner 363LF0000X3009737 (KY)
Nurse Practitioner Primary 363L00000X3009737 (KY)
Nurse Practitioner 363L00000X71007956A (IN)

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 1649642406

Kathryn Moore Keathley, APRN's National Provider Identifier is 1649642406, issued on Oct 20, 2015. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Greendale, IN. The record was last updated on Apr 21, 2020.