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Contact Information

KENTUCKIANA GERIATRIC AND PALLIATIVE SERVICES PLLC
1877 FARNSLEY RD
LOUISVILLE, KY40216-4701
 Phone: 502-544-8293
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Adult Health

363LA2200X 50 Nurse Practitioner
 

Family

363LF0000X 50 Nurse Practitioner
 

Gerontology

363LG0600X 50 Nurse Practitioner
 

Hospice and Palliative Medicine

207RH0002X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for KENTUCKIANA GERIATRIC AND PALLIATIVE SERVICES PLLC · (Female)

NPI Number 1902036825
Status Active
Credentials
Entity Individual
Enumeration date 07/27/2009
Last updated 09/10/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • IN Medicaid 201003780A
  • KY Medicaid 7100255800
  • KY Medicaid 7100265630
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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