Provider Demographics
NPI:1326498338
Name:BYRD, KRISTINA MICHELLE (APRN, FNP-C)
Entity type:Individual
Prefix:MRS
First Name:KRISTINA
Middle Name:MICHELLE
Last Name:BYRD
Suffix:
Gender:
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:KRISTINA
Other - Middle Name:MICHELLE
Other - Last Name:BURCHFIELD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:108 MANCHESTER SHOPPING CTR
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:KY
Mailing Address - Zip Code:40962-1401
Mailing Address - Country:US
Mailing Address - Phone:606-658-6333
Mailing Address - Fax:606-658-2173
Practice Address - Street 1:200 MULBERRY ST
Practice Address - Street 2:
Practice Address - City:BOONEVILLE
Practice Address - State:KY
Practice Address - Zip Code:41314-7505
Practice Address - Country:US
Practice Address - Phone:606-593-6023
Practice Address - Fax:606-593-6087
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3010501363LF0000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily