Withers, Miranda D

Withers, Miranda D is an individual health care provider with primary practice located at 349 Bogle St Ste A , Somerset KY 42503-2895. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Withers, Miranda D can be contacted via phone (606) 679-0179.

Contact Information

Primary practice address
349 Bogle St Ste A Somerset KY 42503-2895
Phone: (606) 679-0179
Fax: (606) 679-0546
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6526P Kentucky

Profile Details

NPI number 1427369206
LBN Legal business name Withers, Miranda D
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2010
Last updated Dec 2nd, 2014 - 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 1427369206 NPPES
Kentucky MEDICAID 7100130590

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