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
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
Authorized Official Name Eastridge Karen
Credentials NPC, CDE
Telephone Number 5024152828

NPI Number Detail

NPI Number 1477767549
Provider Enumeration Date 2007-05-09
Last Updated Date 2007-11-01

Provider Mailing Address Detail

Address 1553 Highway 44 E Ste 2
City Shepherdsville
State Kentucky (KY)
Post Code 401657183
Phone Number 5029210055
Fax Number 5028050056

Provider's Primary Taxonomy Detail

Speciality Medical Specialty
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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FAQs about Karen Eastridge Llc

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.

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