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100 Providence Way Ste 200 Nicholasville KY 40356-6033 | |
(859) 260-5370 | |
(859) 260-5379 |
Full Name | |
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Speciality | Nurse Practitioner |
Location | 100 Providence Way Ste 200, Nicholasville, Kentucky |
Authorized Official Name and Position | Danyel D Clay (VICE PRESIDENT REVENUE CYCLE) |
Authorized Official Contact | 5022534911 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1901 Campus Pl Louisville KY 40299-2308 Ph: (502) 253-4911 | 100 Providence Way Ste 200 Nicholasville KY 40356-6033 Ph: (859) 260-5370 |
NPI Number | 1255805586 |
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Provider Enumeration Date | 01/21/2019 |
Last Update Date | 07/10/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255805586 | NPI | - | NPPES |
18-4931 | Other | MEDICARE | |
7100127930 | Medicaid | KY |
Kpa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Keene Manor Cir, Nicholasville, KY 40356 Phone: 718-961-3277 | |
Peter Aliu Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stable Way, Nicholasville, KY 40356 Phone: 276-233-9982 Fax: 859-687-0001 |