Kantapak Tintukasiri, APRN
Nurse Practitioner in Bowling Green, KY. Individual provider (NPI-1).
NPI number1962393785
StatusActive
Last updated in NPPESJul 10, 2025
Details
- NPI
- 1962393785
- Entity type
- Individual (NPI-1)
- Name
- Kantapak Tintukasiri
- Credential
- APRN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 10, 2025
- Certification date
- Jul 10, 2025
- Last updated
- Jul 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 4041519 | KY | Yes |
Practice location
225 Natchez Trace AveBowling Green, KY 42103-7995
Phone 270-783-3753
Mailing address
225 Natchez Trace AveBowling Green, KY 42103-7995
Phone 270-783-3753
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All 55 Nurse Practitioner providers in Bowling Green · All 3,685 providers in Bowling Green
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