Killian, Beth Ellen

Killian, Beth Ellen is an individual health care provider with primary practice located at 475 Shoppers Dr , Winchester KY 40391-1380. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Killian, Beth Ellen can be contacted via phone (859) 744-5111.

Contact Information

Primary practice address
475 Shoppers Dr Winchester KY 40391-1380
Phone: (859) 744-5111
Fax: (859) 744-1177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3003665 Kentucky

Profile Details

NPI number 1659336923
LBN Legal business name Killian, Beth Ellen
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Aug 6th, 2019 - about 7 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 1659336923 NPPES
Kentucky Other 6400 GROUP MEDICARE #
Kentucky MEDICAID 78901261 GROUP MEDICARE #
Kentucky MEDICAID 78008265 GROUP MEDICARE #

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