Organization
HEALTH SERVICES OF KENTUCKY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARCIA LYNNE SHROCK ARNP (ONWER/PARTNER)
(502) 314-7050
Entity
Organization
Contact information
Practice address
122 N WATTERSON TRL, LOUISVILLE, KY 40243-2700
(502) 314-7050
(502) 245-5964
Mailing address
PO BOX 7766, LOUISVILLE, KY 40257-0766
(502) 314-7050
(502) 245-5964
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
4426P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548389752
NPI - INDIVIDUAL
KY
01
—
4426P
NURSE PRACTITIONER LICENSE NUMBER
KY
Enumeration date
10/06/2009
Last updated
10/06/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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