Kathy Prater Blair, APRN | |
4000 Kresge Way, Louisville, KY 40207-4605 | |
(502) 897-8100 | |
Not Available |
Full Name | Kathy Prater Blair |
---|---|
Gender | Female |
Speciality | Nurse Practitioner |
Experience | 2 Years |
Location | 4000 Kresge Way, Louisville, Kentucky |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1891443917 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363L00000X | Nurse Practitioner | 3017383 (Kentucky) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Baptist Health Louisville | Louisville, KY | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Louisville Observational Medicine Associates Psc | 2860890704 | 28 |
Entity Name | Baptist Health Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740586213 PECOS PAC ID: 5597867184 Enrollment ID: O20070228000503 |
Entity Name | Louisville Observational Medicine Associates Psc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356018519 PECOS PAC ID: 2860890704 Enrollment ID: O20211007001836 |
Mailing Address | Practice Location Address |
---|---|
Kathy Prater Blair, APRN 4000 Kresge Way, Louisville, KY 40207-4605 Ph: (502) 897-8100 | Kathy Prater Blair, APRN 4000 Kresge Way, Louisville, KY 40207-4605 Ph: (502) 897-8100 |
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