Clifford, Theresa Lynn
Clifford, Theresa Lynn is an individual health care provider with primary practice located at 60 Mack Walters Rd , Shelbyville KY 40065-1738. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Clifford, Theresa Lynn can be contacted via phone (502) 633-4622.Contact Information
Primary practice address
60 Mack Walters Rd
Shelbyville KY 40065-1738
Phone: (502) 633-4622
Fax: (502) 633-6925
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 3002154 | Kentucky |
Profile Details
| NPI number | 1316029507 |
|---|---|
| LBN Legal business name | Clifford, Theresa Lynn |
| Credentials | F.N.P., A.P.R.N. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Apr 18th, 2018 - about 8 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 | 1316029507 | NPPES |
| Kentucky | Other | 000000626807 | ANTHEM |
| Kentucky | Other | 3722988000 | ANTHEM |
| Kentucky | MEDICAID | 7100078250 | ANTHEM |
| Kentucky | Other | 50024463 | ANTHEM |
Popular Providers
-
Peterson, Michelle Dawn
615 Washington St , Shelbyville KY 40065-1131 -
Jensen, Casey Mae
140 Stonecrest Rd Ste 101 , Shelbyville KY 40065-8143 -
Coursey, Johanna
6799 Frankfort Rd , Shelbyville KY 40065-9495 -
Evans, Samuel L.
311 Boone Station Rd , Shelbyville KY 40065-8673 -
Sewell-Hauenstein, Linda May
311 Boone Station Road , Shelbyville KY 40065-8592 -
Dydynski, Rebecca Elizabeth
60 Mack Walters Rd , Shelbyville KY 40065-1738 -
Mccaa, Aimee Lynn
131 Stonecrest Rd Ste 100 , Shelbyville KY 40065-8163 -
Rayburn, Mimi Y. R.
865 Old Taylorsville Rd , Shelbyville KY 40065