Berry, Miranda Nicole

Berry, Miranda Nicole is an individual health care provider with primary practice located at 1351 Newtown Pike , Lexington KY 40511-1275. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Berry, Miranda Nicole can be contacted via phone (859) 893-0951.

Contact Information

Primary practice address
1351 Newtown Pike Lexington KY 40511-1275
Phone: (859) 893-0951
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1891228359
LBN Legal business name Berry, Miranda Nicole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2017
Last updated Apr 11th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891228359 NPPES
Kentucky MEDICAID 1790731081

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