Kaewbua, Sooksai

Kaewbua, Sooksai is an individual health care provider with primary practice located at 209 N Maysville St Ste 200 , Mount Sterling KY 40353. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Kaewbua, Sooksai can be contacted via phone (859) 404-7686.

Contact Information

Primary practice address
209 N Maysville St Ste 200 Mount Sterling KY 40353
Phone: (859) 404-7686
Fax: (859) 498-8160
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 3011504 Kentucky

Profile Details

NPI number 1366962599
LBN Legal business name Kaewbua, Sooksai
Credentials DNP, APRN, PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2017
Last updated Aug 24th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366962599 NPPES
Kentucky MEDICAID 7100471890

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