Dydynski, Rebecca Elizabeth

Dydynski, Rebecca Elizabeth is an individual health care provider with primary practice located at 60 Mack Walters Rd , Shelbyville KY 40065-1738. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Dydynski, Rebecca Elizabeth 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:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3007020 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3007020 Kentucky

Profile Details

NPI number 1942598370
LBN Legal business name Dydynski, Rebecca Elizabeth
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Mar 15th, 2012 - about 14 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 1942598370 NPPES
Kentucky MEDICAID 7100192450

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