GERIATRIC ESSENTIALS PC, Geriatric Psychiatry MAYFIELD, KY

Contact Information

GERIATRIC ESSENTIALS, PC

402 W FARTHING ST
MAYFIELD, KY 42066-2900

Phone: 731-571-8808
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Geriatric Psychiatry	2084P0805X	86	Physician/Neuropsychiatry

Indicates primary specialty

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NPI Profile & details for GERIATRIC ESSENTIALS PC · (Female)

NPI #	`1043812696`
Status	Active
Credentials
Entity	Individual
Enumeration date	11/09/2020
Last updated	11/09/2020 - About 6 years ago
Sole proprietor ¹	Not specified
Identifiers	KY Medicaid 7100689200
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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