Kingston, Gregory D

Kingston, Gregory D is an individual health care provider with primary practice located at 125 S 20Th St , Paducah KY 42001-7100. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Kingston, Gregory D can be contacted via phone (270) 575-3247.

Contact Information

Primary practice address
125 S 20Th St Paducah KY 42001-7100
Phone: (270) 575-3247
Fax: (270) 442-7335
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3002602 Kentucky

Profile Details

NPI number 1689710899
LBN Legal business name Kingston, Gregory D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 29th, 2007
Last updated Jan 3rd, 2020 - about 5 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 1689710899 NPPES
Kentucky MEDICAID 6592143900
Kentucky Other P01026376
Kentucky MEDICAID 78900180
Kentucky MEDICAID 78260205

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