Proffitt, Lisa Kaye

Proffitt, Lisa Kaye is an individual health care provider with primary practice located at 2724 Nashville Rd , Bowling Green KY 42101-4000. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Proffitt, Lisa Kaye can be contacted via phone (270) 781-5111.

Contact Information

Primary practice address
2724 Nashville Rd Bowling Green KY 42101-4000
Phone: (270) 781-5111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3005252 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 5252P Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3005252 Kentucky

Profile Details

NPI number 1649460544
LBN Legal business name Proffitt, Lisa Kaye
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2007
Last updated Dec 1st, 2022 - about 2 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 1649460544 NPPES
Kentucky MEDICAID 7100020460

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