Harris, Peggy L.

Harris, Peggy L. is an individual health care provider with primary practice located at 444 S Main St , Madisonville KY 42431-2846. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Harris, Peggy L. can be contacted via phone (270) 821-4444.

Contact Information

Primary practice address
444 S Main St Madisonville KY 42431-2846
Phone: (270) 821-4444
Fax: (270) 821-9188
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1069555 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009842 Kentucky

Profile Details

NPI number 1992173330
LBN Legal business name Harris, Peggy L.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2015
Last updated Nov 27th, 2023 - about last year

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 1992173330 NPPES
Kentucky MEDICAID 7100368720

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