Greene, Laura M

Greene, Laura M is an individual health care provider with primary practice located at 483 S Loop Rd , Edgewood KY 41017-5446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Greene, Laura M can be contacted via phone (859) 301-4600.

Contact Information

Primary practice address
483 S Loop Rd Edgewood KY 41017-5446
Phone: (859) 301-4600
Fax: (859) 301-4601
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2778P Kentucky

Profile Details

NPI number 1831198126
LBN Legal business name Greene, Laura M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2005
Last updated Jun 6th, 2013 - about 11 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 1831198126 NPPES
Kentucky MEDICAID 78009214
Kentucky Other 000000335133

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