Kloss, Martha June
Kloss, Martha June is an individual health care provider with primary practice located at 225 Medical Center Dr Ste. 304, Paducah KY 42003-7914. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Kloss, Martha June can be contacted via phone (270) 441-4301.Contact Information
Primary practice address
225 Medical Center Dr Ste. 304
Paducah KY 42003-7914
Phone: (270) 441-4301
Fax: (270) 441-4739
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | ARNP 3987P | Kentucky |
Profile Details
| NPI number | 1629030465 |
|---|---|
| LBN Legal business name | Kloss, Martha June |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Oct 17th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629030465 | NPPES |
| Kentucky | MEDICAID | 78010808 |
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