Martin, Carol Ennis
Martin, Carol Ennis is an individual health care provider with primary practice located at The Kentucky Clinic Wing D J252 740 S. Limestone, Lexington KY 40536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Martin, Carol Ennis can be contacted via phone (859) 323-2089.Contact Information
Primary practice address
The Kentucky Clinic Wing D J252 740 S. Limestone
Lexington KY 40536
Phone: (859) 323-2089
Fax: (859) 218-7487
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 3002688 | Kentucky |
Profile Details
| NPI number | 1598804973 |
|---|---|
| LBN Legal business name | Martin, Carol Ennis |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Sep 8th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598804973 | NPPES |
| Kentucky | MEDICAID | 78026887 |
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