Ketti Lynn Eddy is a Family in Edmond, Oklahoma. Ketti Lynn Eddy practices all healthcare services and medical treatments related to Family. The NPI Number for Ketti Lynn Eddy is 1194723239. The last update date is 2021-09-25.
Ketti Lynn Eddy's current location address is 1603 Hunters Path, Edmond, Oklahoma. You can contact this provider via phone number 4059197570 and fax number 4052569748. The mailing address for Ketti Lynn Eddy is 1603 Hunters Path, Edmond, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ketti Lynn Eddy |
|---|---|
| Address | 1603 Hunters Path, Edmond, Oklahoma |
| Phone Number | 4059197570 |
| Fax Number | 4052569748 |
| Sole Proprietor | Y |
| Credentials | APRN-CNP |
NPI Number Detail
| NPI Number | 1194723239 |
|---|---|
| Provider Enumeration Date | 2005-07-12 |
| Last Updated Date | 2021-09-25 |
Provider Mailing Address Detail
| Address | 1603 Hunters Path |
|---|---|
| City | Edmond |
| State | Oklahoma (OK) |
| Post Code | 730341627 |
| Phone Number | 4059197570 |
| Fax Number | 4052569748 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | R0074528 |
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Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200057880A | OK | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Ketti Lynn Eddy by the Centers for Medicare & Medicaid Services?
The Ketti Lynn Eddy has been assigned the NPI (National Provider Identifier) 1194723239. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Ketti Lynn Eddy's physical address?
The Ketti Lynn Eddy is physically located at 1603 Hunters Path, in the city of Edmond, OK, with the postal code 730341627.
What is Ketti Lynn Eddy's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ketti Lynn Eddy is Family, and the taxonomy code that categorizes this field of expertise is 363Lf0000X.
On what date was the 1194723239 assigned to Ketti Lynn Eddy?
The Ketti Lynn Eddy was issued its 1194723239 on 2005-07-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Ketti Lynn Eddy most recently updated or revised?
The information pertaining to Ketti Lynn Eddy, including its address, specialty, and other relevant details, was last updated or revised on 2021-09-25.
NPI Number: 1073517686
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