Perdue, Tara S.

Perdue, Tara S. is an individual health care provider with primary practice located at 119 Memorial Dr , Franklin KY 42134-2752. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Perdue, Tara S. can be contacted via phone (270) 586-9533.

Contact Information

Primary practice address
119 Memorial Dr Franklin KY 42134-2752
Phone: (270) 586-9533
Fax: (270) 586-0123
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3003086 Kentucky

Profile Details

NPI number 1639280985
LBN Legal business name Perdue, Tara S.
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 31st, 2006
Last updated Apr 17th, 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 1639280985 NPPES
Kentucky MEDICAID 78003217

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