Individual
SALLY WADDLE MCGEEHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9800 SHELBYVILLE RD, SUITE #220, LOUISVILLE, KY 40223-2977
(502) 429-8585
(502) 753-0889
Mailing address
206 E OAK ST, SOMERSET, KY 42501-1421
(606) 678-0783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
298P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881785947
GROUP NPI
KY
05
—
78001013
—
KY
Enumeration date
07/26/2005
Last updated
06/03/2010
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