Pulliam, Patricia D

Pulliam, Patricia D is an individual health care provider with primary practice located at 875 Pennsylvania Ave , Bardstown KY 40004-2529. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Pulliam, Patricia D can be contacted via phone (502) 348-5685.

Contact Information

Primary practice address
875 Pennsylvania Ave Bardstown KY 40004-2529
Phone: (502) 348-5685
Fax: (502) 348-1771
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3006971 Kentucky

Profile Details

NPI number 1740576222
LBN Legal business name Pulliam, Patricia D
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2011
Last updated Dec 2nd, 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 1740576222 NPPES
Kentucky MEDICAID 7100170850

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