Organization
NULEASE MEDICAL SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNON CALES (OWNER)
(502) 492-7455
Entity
Organization
Contact information
Practice address
1327 E BROADWAY ST STE B, CAMPBELLSVILLE, KY 42718-1599
(270) 283-4240
(270) 283-4556
Mailing address
5722 OUTER LOOP, LOUISVILLE, KY 40219-4156
(502) 492-7455
(502) 921-0222
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
—
—
1041C0700X
Clinical Social Worker
—
—
207L00000X
Anesthesiology Physician
—
—
207LA0401X
Addiction Medicine (Anesthesiology) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
208VP0000X
Pain Medicine Physician
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100687420
—
KY
05
—
7100713150
—
KY
05
—
7100713930
—
KY
Enumeration date
02/11/2020
Last updated
08/30/2022
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