Perry, Susan Lee

Perry, Susan Lee is an individual health care provider with primary practice located at 4000 Kresge Way , Louisville KY 40207-4605. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Perry, Susan Lee can be contacted via phone (502) 473-2132.

Contact Information

Primary practice address
4000 Kresge Way Louisville KY 40207-4605
Phone: (502) 473-2132
Fax: (502) 459-0923
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 1043481 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 3000182 Kentucky

Profile Details

NPI number 1578555421
LBN Legal business name Perry, Susan Lee
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2005
Last updated Dec 2nd, 2015 - 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 1578555421 NPPES
Kentucky MEDICAID 74294208

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