Gentry, Vicki

Gentry, Vicki is an individual health care provider with primary practice located at 472 Klutey Park Plaza Dr , Henderson KY 42420-3348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Gentry, Vicki can be contacted via phone (270) 826-3951.

Contact Information

Primary practice address
472 Klutey Park Plaza Dr Henderson KY 42420-3348
Phone: (270) 826-3951
Fax: (270) 827-5527
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2606P Kentucky

Profile Details

NPI number 1144209214
LBN Legal business name Gentry, Vicki
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Dec 23rd, 2008 - about 18 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 1144209214 NPPES
Kentucky MEDICAID 7100007260

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