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Contact Information

KHABEER ABDUL
1704 W STOCKTON ST
EDMONTON, KY42129-8137
 Phone: 270-432-4800
 Fax: 270-432-4804
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for KHABEER ABDUL · (Male)

NPI Number 1992252266
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2016
Last updated 11/10/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • KS License # 81327
  • TN License # 189364
  • TN License # 21562
  • TX License # AP133118
Hospital affiliation(s)
  • T J SAMSON COMMUNITY HOSPITAL - (Acute Care)
    1301 NORTH RACE STREET
    GLASGOW, KY 42141
  • WESTLAKE REGIONAL HOSPITAL - (Acute Care)
    901 WESTLAKE DRIVE
    COLUMBIA, KY 42728
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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