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Contact Information

MOBILE MD HOLDINGS LLC
9510 ORMSBY STATION ROAD
SUITE 100B
LOUISVILLE, KY40223-4082
 Phone: 502-253-4140
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for MOBILE MD HOLDINGS LLC · (Female)

NPI # 1023187234
Status Active
Credentials
Entity Individual
Enumeration date 11/06/2006
Last updated 03/12/2009 - About 17 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY License # 720224
  • KY Medicaid 65944530
  • KY Medicaid 78904810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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