Individual
BETHANY ANN SAKIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
411 E CHESTNUT ST # 5A6B, LOUISVILLE, KY 40202-1713
(502) 588-4940
(502) 588-7712
Mailing address
PO BOX 776879, CHICAGO, IL 60677-6879
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013565
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300038183
—
IN
01
—
3013565
STATE LICENSE
KY
05
—
7100651120
—
KY
Enumeration date
12/06/2019
Last updated
10/26/2023
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