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Individual

KAYLEE T BUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
210 E GRAY ST STE 1105, LOUISVILLE, KY 40202-3907
(502) 583-1697
(502) 583-2120
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007004
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000724827
ANTHEM - NNIKY
KY
01
000057121H
HUMANA - NNIKY
KY
05
201034040
IN
01
50034186
PASSPORT & PASSPORT ADVTG - NNIKY
KY
05
7100170940
KY
01
9500719
CIGNA - NNIKY
KY
01
P01048867
RAILROAD MEDICARE - NNIKY
KY
Enumeration date
07/20/2011
Last updated
07/19/2016
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