Roach, Krista Gail

Roach, Krista Gail is an individual health care provider with primary practice located at 422 Heywood Ave , Louisville KY 40208-1346. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Roach, Krista Gail can be contacted via phone (502) 636-3133.

Contact Information

Primary practice address
422 Heywood Ave Louisville KY 40208-1346
Phone: (502) 636-3133
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009011 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3009011 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3009011 Kentucky

Profile Details

NPI number 1770988800
LBN Legal business name Roach, Krista Gail
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2014
Last updated Jul 14th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770988800 NPPES
Kentucky MEDICAID 7100312960

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