Matherly, Laura Ross

Matherly, Laura Ross is an individual health care provider with primary practice located at 4359 New Shepherdsville Rd Suite 255, Bardstown KY 40004-8000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Matherly, Laura Ross can be contacted via phone (502) 350-5800.

Contact Information

Primary practice address
4359 New Shepherdsville Rd Suite 255 Bardstown KY 40004-8000
Phone: (502) 350-5800
Fax: (502) 350-5820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5616P Kentucky

Profile Details

NPI number 1871758417
LBN Legal business name Matherly, Laura Ross
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2008
Last updated Aug 7th, 2019 - 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 1871758417 NPPES
Kentucky MEDICAID 7100100500 (KOHMG)

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