Harston, Pamela Kaye

Harston, Pamela Kaye is an individual health care provider with primary practice located at 1890 Lyda Ave Suite 103, Bowling Green KY 42104-5829. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Harston, Pamela Kaye can be contacted via phone (270) 904-6160.

Contact Information

Primary practice address
1890 Lyda Ave Suite 103 Bowling Green KY 42104-5829
Phone: (270) 904-6160
Fax: (270) 904-6165
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation 208100000X 25936 Kentucky

Profile Details

NPI number 1902973043
LBN Legal business name Harston, Pamela Kaye
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2006
Last updated Oct 26th, 2009 - about 16 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 1902973043 NPPES
Kentucky Other 1157737 PASSPORT MEDICAID
Kentucky MEDICAID 64259369 PASSPORT MEDICAID
Kentucky Other 000000197280 PASSPORT MEDICAID
Kentucky Other 250005380 PASSPORT MEDICAID
Kentucky Other 1467280 PASSPORT MEDICAID
Kentucky Other 8122 PASSPORT MEDICAID

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