Fougnie, Kirk A
Fougnie, Kirk A is an individual health care provider with primary practice located at 4331 Churchman Ave Suite 101, Louisville KY 40215-1164. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Fougnie, Kirk A can be contacted via phone (502) 364-0902.Contact Information
Primary practice address
4331 Churchman Ave Suite 101
Louisville KY 40215-1164
Phone: (502) 364-0902
Fax: (502) 364-0099
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA582 | Kentucky |
Profile Details
NPI number | 1295734747 |
---|---|
LBN Legal business name | Fougnie, Kirk A |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 18th, 2005 |
Last updated | Oct 19th, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1295734747 | NPPES |
Kentucky | MEDICAID | 95001475 | |
Kentucky | Other | 50019798 |
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