Creekmore, Carla M.

Creekmore, Carla M. is an individual health care provider with primary practice located at 5211 Commerce Crossings Dr , Louisville KY 40229-2183. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Creekmore, Carla M. can be contacted via phone (502) 966-3918.

Contact Information

Primary practice address
5211 Commerce Crossings Dr Louisville KY 40229-2183
Phone: (502) 966-3918
Fax: (502) 969-3665
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R139268 Maryland

Profile Details

NPI number 1922058643
LBN Legal business name Creekmore, Carla M.
Credentials C.R.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Oct 13th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922058643 NPPES
Maryland MEDICAID 409219800

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