Wellformed AI

NPI 1295201770 · live from the CMS NPI Registry

Kasey Fawbush, FNP

Nurse Practitioner, Family in Taylorsville, KY. National Provider Identifier 1295201770, active.

NPI record

NPI1295201770 Type 1 · individual
StatusActive
Primary specialtyNurse Practitioner, Family 363LF0000X
Practice location847 Taylorsville Rd, Taylorsville, KY 40071
Practice phone502-588-8705
Mailing addressPo Box 909, Louisville, KY 40201
EnumeratedOctober 22, 2018
Last updatedApril 8, 2025
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Nurse Practitioner, Pediatrics363LP0200X3012544 (KY)
Nurse Practitioner363L00000X3012544 (KY)
Nurse Practitioner, Family primary363LF0000X3012544 (KY)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.