Hart, Beverly Gilliam

Hart, Beverly Gilliam is an individual health care provider with primary practice located at 151 N Eagle Creek Dr Ste 220 , Lexington KY 40509-1892. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Hart, Beverly Gilliam can be contacted via phone (859) 259-2635.

Contact Information

Primary practice address
151 N Eagle Creek Dr Ste 220 Lexington KY 40509-1892
Phone: (859) 259-2635
Fax: (859) 254-7874
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1043709 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3005386 Kentucky

Profile Details

NPI number 1770624900
LBN Legal business name Hart, Beverly Gilliam
Credentials RN, PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2007
Last updated Jan 11th, 2011 - about 13 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 1770624900 NPPES
Kentucky MEDICAID 7100137110
Kentucky MEDICAID 30615058
Kentucky MEDICAID 31001118

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