| Kimberly Gastenveld, | |
| 
					1401 Madison Ave, Covington, KY 41011-3313  | |
| (859) 655-6100 | |
| (859) 655-6148 | 
| Full Name | Kimberly Gastenveld | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Practitioner - Family | 
| Location | 1401 Madison Ave, Covington, Kentucky | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184168247 | NPI | - | NPPES | 
| 3010950 | Other | KY | KY LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | 3010950 (Kentucky) | Primary | 
| Entity Name | University Of Cincinnati Physicians Company Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1801840434 PECOS PAC ID: 2264344480 Enrollment ID: O20031105000123  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Kimberly Gastenveld, 215 E 11th St, Newport, KY 41071-2203 Ph: (859) 655-6100  | Kimberly Gastenveld, 1401 Madison Ave, Covington, KY 41011-3313 Ph: (859) 655-6100  | 
Jessica Ginn, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 Fax: 859-655-6179  | |
Kyla Renee Riddell, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1401 Madison Ave, Covington, KY 41011 Phone: 859-655-6100 Fax: 859-655-6179  | |
Miss Brenda Mastin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9188 Pampas Ct, Covington, KY 41015 Phone: 859-415-3099  | |
Samantha Ann Stewart,  Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Pike St, Covington, KY 41011 Phone: 901-482-9567  | |
Jennifer Ann Cline, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 343 Pike St, Covington, KY 41011 Phone: 859-291-9321  | |
Shelby Maureen Klingensmith, APRN-CNP, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 James Simpson Jr Way, Covington, KY 41011 Phone: 859-301-5901 Fax: 859-301-5940  | |
Deborah Sonnanstine, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 401 E 20th St, Covington, KY 41014 Phone: 859-655-7171 Fax: 859-655-6742  |