BALANCED LIFE PRIMARY CARE, LLC; NPI #1639561806

Contact Information

BALANCED LIFE PRIMARY CARE, LLC

3240 MOUNT MORIAH AVE
OWENSBORO, KY 42303-7805

Phone: 270-686-6168
Fax: 270-686-6140
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for BALANCED LIFE PRIMARY CARE, LLC

NPI Number	`1639561806`
LBN Legal business name	BALANCED LIFE PRIMARY CARE, LLC
Authorized official	RANDALL KING - (OWNER)
Entity	Organization
Organization subpart ¹	No
Enumeration date	02/25/2015
Last updated	02/25/2015 - About 11 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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