Search › Kentucky › 363LF0000X
Khairunissa Mohiuddin, NP
NPI 1932661170 · on the registry since 2019 · sole proprietor
Practice
- Address
- 4423 Bardstown Rd
Louisville, KY 40218 - Phone
- (502) 495-2400
- Fax
- (502) 495-6345
- Clinicians at this address
- 26
Additional practice sites
- 4423 Bardstown Rd, Louisville, KY
- 1500 W. Jefferson St, Louisville, KY
Registry record
- Primary taxonomy
- 363LF0000X
363LF0000X
- Licence states on file
- KY
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky