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Contact Information

SHC MEDICAL PARTNERS OF KENTUCKY, LLC
2529 SIX MILE LN
LOUISVILLE, KY40220
 Phone: 502-491-5560
 Fax: 502-491-0214
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Geriatric Medicine

207RG0300X 11 Physician/Internal Medicine
 

Physical Medicine & Rehabilitation

208100000X 25 Physician/Physical Medicine and Rehabilitation
 

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for SHC MEDICAL PARTNERS OF KENTUCKY LLC · (Female)

NPI Number 1417132614
Status Active
Credentials
Entity Individual
Enumeration date 01/07/2008
Last updated 03/30/2023 - About 3 years ago
Sole proprietor 1 Not specified
Identifiers
  • KY Medicaid 7100185200
  • KY Medicaid 7100405980
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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