Brockman, Molly Maggard
Brockman, Molly Maggard is an individual health care provider with primary practice located at 115 Huston Dr Ste 1 , Shepherdsville KY 40165-7250. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Brockman, Molly Maggard can be contacted via phone (502) 955-7311.Contact Information
Primary practice address
115 Huston Dr Ste 1
Shepherdsville KY 40165-7250
Phone: (502) 955-7311
Fax: (502) 891-8338
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 52490 | Kentucky |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 52490 | Kentucky |
Profile Details
| NPI number | 1932594736 |
|---|---|
| LBN Legal business name | Brockman, Molly Maggard |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 30th, 2015 |
| Last updated | Feb 9th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932594736 | NPPES |
| Kentucky | Other | K310660 | MEDICARE |
| Kentucky | Other | 52490 | MEDICARE |
| Kentucky | MEDICAID | 7100430860 | MEDICARE |
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