Mackey, Polly Kaelin

Mackey, Polly Kaelin is an individual health care provider with primary practice located at 4100 Taylor Blvd , Louisville KY 40215-2342. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Women's Health, which is considered as her primary health care specialty. Mackey, Polly Kaelin can be contacted via phone (502) 366-4747.

Contact Information

Primary practice address
4100 Taylor Blvd Louisville KY 40215-2342
Phone: (502) 366-4747
Fax: (502) 996-8309
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3000536 Kentucky

Profile Details

NPI number 1063488690
LBN Legal business name Mackey, Polly Kaelin
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 24th, 2006
Last updated Jun 16th, 2018 - about 6 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 1063488690 NPPES
Kentucky MEDICAID 7800163300

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