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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

NPI # 1417132614
LBN Legal business name SHC MEDICAL PARTNERS OF KENTUCKY, LLC
Authorized official PENNY LOGAN - (COO)
Entity Organization
Organization subpart 1 Yes
Enumeration date 01/07/2008
Last updated 03/30/2023 - About 3 years ago
Identifiers
KY Medicaid 7100185200
KY Medicaid 7100405980
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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