Robertson, Terani

Robertson, Terani is an individual health care provider with primary practice located at 92 Joe T Petty Dr Suite 400, Russell Springs KY 42642-8544. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Robertson, Terani can be contacted via phone (270) 866-8881.

Contact Information

Primary practice address
92 Joe T Petty Dr Suite 400 Russell Springs KY 42642-8544
Phone: (270) 866-8881
Fax: (270) 866-8849
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6617P Kentucky

Profile Details

NPI number 1922315266
LBN Legal business name Robertson, Terani
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2010
Last updated Jun 9th, 2015 - about 10 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 1922315266 NPPES
Kentucky MEDICAID 7100137540
Kentucky Other 6617P

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