Organization
EXTENDED CARE HEALTH PROFESSIONALS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM CASHION APRN (APRN)
(502) 396-7176
Entity
Organization
Contact information
Practice address
3903 VANTAGE PL, LOUISVILLE, KY 40299-6801
(502) 356-4377
(888) 959-2460
Mailing address
3903 VANTAGE PL, LOUISVILLE, KY 40299-6801
(502) 356-4377
(888) 959-2460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78904836
—
KY
Enumeration date
10/18/2006
Last updated
02/05/2018
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