| Kentucky Phs Llc | |
|
4965 Us Highway 42 Ste 1000 Louisville KY 40222-6375 | |
| (337) 991-9276 | |
| (337) 943-0846 |
| Full Name | Kentucky Phs Llc |
|---|---|
| Speciality | Nurse Practitioner |
| Location | 4965 Us Highway 42 Ste 1000, Louisville, Kentucky |
| Authorized Official Name and Position | Nicole Howard (CFO) |
| Authorized Official Contact | 3379919276 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kentucky Phs Llc 1509 Dulles Drive Lafayette LA 70506 Ph: (337) 991-9276 | Kentucky Phs Llc 4965 Us Highway 42 Ste 1000 Louisville KY 40222-6375 Ph: (337) 991-9276 |
| NPI Number | 1124328323 |
|---|---|
| Provider Enumeration Date | 10/22/2010 |
| Last Update Date | 05/24/2024 |
| Medicare PECOS PAC ID | 8325228414 |
|---|---|
| Medicare Enrollment ID | O20110207000580 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124328323 | NPI | - | NPPES |
| 7100163370 | Medicaid | KY |
| Provider Name | Michelle Osborne |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962695593 PECOS PAC ID: 1951484138 Enrollment ID: I20080211000802 |
| Provider Name | Stacey B Hiser |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235323338 PECOS PAC ID: 5092843177 Enrollment ID: I20100511000516 |
| Provider Name | Tameron C Shaw |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912234535 PECOS PAC ID: 4981885100 Enrollment ID: I20110222000409 |
| Provider Name | Tiffany Wright |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487938809 PECOS PAC ID: 0244404242 Enrollment ID: I20111130000511 |
| Provider Name | Nicole Strickland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235406034 PECOS PAC ID: 3678749140 Enrollment ID: I20120104000791 |
| Provider Name | Gregory D Kingston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689710899 PECOS PAC ID: 5698833531 Enrollment ID: I20120131000871 |
| Provider Name | Joyce Little |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982977484 PECOS PAC ID: 4183885130 Enrollment ID: I20120418000416 |
| Provider Name | Christy L Wilson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518980762 PECOS PAC ID: 6507863198 Enrollment ID: I20141124001989 |
| Provider Name | Dena Lynn Kommer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174813240 PECOS PAC ID: 5193980928 Enrollment ID: I20151008002637 |
| Provider Name | Blake Woods |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548665136 PECOS PAC ID: 4082912993 Enrollment ID: I20160408001762 |
| Provider Name | Deena D Carrico |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033577564 PECOS PAC ID: 9133428543 Enrollment ID: I20160505001108 |
| Provider Name | Cady L. Knight |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679922819 PECOS PAC ID: 7618262767 Enrollment ID: I20160829000843 |
| Provider Name | James Isenberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003281627 PECOS PAC ID: 9638471816 Enrollment ID: I20161007000993 |
| Provider Name | Allison L Mcclanahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649726670 PECOS PAC ID: 9739477563 Enrollment ID: I20161011003147 |
| Provider Name | Chelsea Van Rooy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548796493 PECOS PAC ID: 4789951757 Enrollment ID: I20170522002884 |
| Provider Name | Thomas Perry Colley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851894471 PECOS PAC ID: 9739442682 Enrollment ID: I20180406001260 |
| Provider Name | Abigail E Pollachek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649714197 PECOS PAC ID: 3274882105 Enrollment ID: I20180824002619 |
| Provider Name | Sarah C. Harrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922773985 PECOS PAC ID: 4284031816 Enrollment ID: I20210924001936 |
| Provider Name | Theresa Curlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033709779 PECOS PAC ID: 8820403546 Enrollment ID: I20211230001547 |
| Provider Name | Amanda Diamantina Reyes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225742299 PECOS PAC ID: 5890167639 Enrollment ID: I20230204000362 |
| Provider Name | Dominique Pinilla |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124103965 PECOS PAC ID: 4880604446 Enrollment ID: I20230714000314 |
| Provider Name | Brian Cooper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366678963 PECOS PAC ID: 0547426223 Enrollment ID: I20240509003970 |
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