Harley, Kim Ann

Harley, Kim Ann is an individual health care provider with primary practice located at 2211 Mayfair Dr Ste 102 , Owensboro KY 42301-4569. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Harley, Kim Ann can be contacted via phone (270) 688-1351.

Contact Information

Primary practice address
2211 Mayfair Dr Ste 102 Owensboro KY 42301-4569
Phone: (270) 688-1351
Fax: (270) 688-3342
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 71004326A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3010109 Kentucky

Profile Details

NPI number 1003155029
LBN Legal business name Harley, Kim Ann
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2013
Last updated Jun 6th, 2024 - about 5 months 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 1003155029 NPPES
Kentucky MEDICAID 7100240560

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