Koester, Theresa Kay

Koester, Theresa Kay is an individual health care provider with primary practice located at 6529 Six Mile Lane , Louisville KY 40220-2934. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Koester, Theresa Kay can be contacted via phone (502) 491-5560.

Contact Information

Primary practice address
6529 Six Mile Lane Louisville KY 40220-2934
Fax: (502) 491-0214
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 3008806 Kentucky

Profile Details

NPI number 1730174947
LBN Legal business name Koester, Theresa Kay
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Nov 2nd, 2016 - about 9 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 1730174947 NPPES
Indiana MEDICAID 200507730
Indiana Other 3008806

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