Shively, Laree
Shively, Laree is an individual health care provider with primary practice located at 73 Kingswood Dr , Campbellsville KY 42718-9604. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Shively, Laree can be contacted via phone (270) 849-2379.Contact Information
Primary practice address
73 Kingswood Dr
Campbellsville KY 42718-9604
Phone: (270) 849-2379
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3015305 | Kentucky |
Profile Details
| NPI number | 1487261228 |
|---|---|
| LBN Legal business name | Shively, Laree |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2020 |
| Last updated | Feb 27th, 2024 - about 9 months 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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