Krysta Penn
Registered Nurse in Louisville, KY. Individual provider (NPI-1).
NPI number1619856473
StatusActive
Last updated in NPPESAug 27, 2025
Details
- NPI
- 1619856473
- Entity type
- Individual (NPI-1)
- Name
- Krysta Penn
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2025
- Certification date
- Aug 27, 2025
- Last updated
- Aug 27, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163W00000X | Registered Nurse | 1159364 | KY | Yes |
Other names
- Krysta Lathon (Former Name)
Practice location
506 Malcolm AveLouisville, KY 40223-2535
Phone 502-271-8486 · Fax 502-271-8486
Mailing address
506 Malcolm AveLouisville, KY 40223-2535
Phone 502-271-8486
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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