Carter-Gentry, Dianne Renee
Carter-Gentry, Dianne Renee is an individual health care provider with primary practice located at 2360 Stony Brook Dr , Louisville KY 40220-4018. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Carter-Gentry, Dianne Renee can be contacted via phone (502) 446-5555.Contact Information
Primary practice address
2360 Stony Brook Dr
Louisville KY 40220-4018
Phone: (502) 446-5555
Fax: (502) 394-3670
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 4023P | Kentucky |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3004023 | Kentucky |
Profile Details
| NPI number | 1700861853 |
|---|---|
| LBN Legal business name | Carter-Gentry, Dianne Renee |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2005 |
| Last updated | Aug 22nd, 2024 - about 2 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 | 1700861853 | NPPES |
| Kentucky | MEDICAID | 78010063 |
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