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Contact Information

ACK HEALTHCARE MANAGEMENT, LLC
1520 4TH ST
LEWISPORT, KY42351
 Phone: 270-295-3890
 Fax: 270-295-3891
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for ACK HEALTHCARE MANAGEMENT LLC · (Female)

NPI # 1154748986
Status Active
Credentials
Entity Individual
Enumeration date 03/18/2014
Last updated 08/29/2019 - About 7 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100295770
  • KY Other 18D2054463 CLIA
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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