Individual provider · Type 1 NPI

Kantapak Tintukasiri, APRN

Nurse Practitioner · Bowling Green, KY

NPI number 1962393785 Active

Practice location

225 Natchez Trace Ave
Bowling Green, KY 42103-7995

Specialties and licenses

Taxonomy	Code	License
Nurse Practitioner Primary	363L00000X	4041519 (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 1962393785

Kantapak Tintukasiri, APRN's National Provider Identifier is 1962393785, issued on Jul 10, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Bowling Green, KY. The record was last updated on Jul 10, 2025.