Karen Eastridge Llc in Shepherdsville - Medical Specialty
Karen Eastridge Llc - NPI 1477767549
Karen Eastridge Llc is a Medical Specialty in Shepherdsville, Kentucky. Karen Eastridge Llc practices all healthcare services and medical treatments related to Medical Specialty. The NPI Number for Karen Eastridge Llc is 1477767549. The last update date is 2007-11-01.
Karen Eastridge Llc's current location address is 1553 Highway 44 E Ste 2, Shepherdsville, Kentucky. You can contact this provider via phone number 5029210055 and fax number 5028050056. The mailing address for Karen Eastridge Llc is 1553 Highway 44 E Ste 2, Shepherdsville, Kentucky. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Karen Eastridge Llc |
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Address | 1553 Highway 44 E Ste 2, Shepherdsville, Kentucky |
Phone Number | 5029210055 |
Fax Number | 5028050056 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER-PRAC |
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Authorized Official Name | Eastridge Karen |
Credentials | NPC, CDE |
Telephone Number | 5024152828 |
NPI Number Detail
NPI Number | 1477767549 |
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Provider Enumeration Date | 2007-05-09 |
Last Updated Date | 2007-11-01 |
Provider Mailing Address Detail
Address | 1553 Highway 44 E Ste 2 |
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City | Shepherdsville |
State | Kentucky (KY) |
Post Code | 401657183 |
Phone Number | 5029210055 |
Fax Number | 5028050056 |
Provider's Primary Taxonomy Detail
Speciality | Medical Specialty |
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Taxonomy | 261Qm2500X |
Licence No | 3658P |
Definition: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific |
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What is the Karen Eastridge Llc's unique identification number?
The Karen Eastridge Llc has been assigned the NPI (National Provider Identifier) Number 1477767549 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Karen Eastridge Llc's facilities are geographically located?
The facilities of Karen Eastridge Llc are physically situated at the following location: 1553 Highway 44 E Ste 2, Shepherdsville, KY, 401657183.
What is Karen Eastridge Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Karen Eastridge Llc's specialized field of practice is Medical Specialty, and the corresponding taxonomy code that categorizes this area of specialization is 261Qm2500X.
On what date did the Karen Eastridge Llc receive the assignment of its 1477767549 from the Centers for Medicare & Medicaid Services?
The Karen Eastridge Llc was issued its 1477767549 by the Centers for Medicare & Medicaid Services on 2007-05-09.
When was the information related to Karen Eastridge Llc most recently updated or refreshed?
The details pertaining to the Karen Eastridge Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-11-01.