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Individual

AIMEE LYNN MCCAA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
131 STONECREST RD STE 100, SHELBYVILLE, KY 40065-8163
(502) 633-7093
(502) 633-7094
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3002599
KY
363LF0000X
Family Nurse Practitioner
Primary
3002599
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1056804
RN
KY
01
3002599
KY APRN LICENSE
KY
01
P00887134
RAILROAD MEDICARE
KY
Enumeration date
02/20/2007
Last updated
11/18/2021
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