Selby, Susan K

Selby, Susan K is an individual health care provider with primary practice located at 570 E Main St , Lexington KY 40508-2342. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Selby, Susan K can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
570 E Main St Lexington KY 40508-2342
Fax: (859) 254-2743
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1730234592
LBN Legal business name Selby, Susan K
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Jul 9th, 2007 - about 17 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 1730234592 NPPES
Kentucky MEDICAID 30615058

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