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
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