Kaiser, Mary Julia

Kaiser, Mary Julia is an individual health care provider with primary practice located at 1 Medical Village Dr , Edgewood KY 41017-3403. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Kaiser, Mary Julia can be contacted via phone (859) 301-5650.

Contact Information

Primary practice address
1 Medical Village Dr Edgewood KY 41017-3403
Fax: (859) 301-6050
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3004387 Kentucky

Profile Details

NPI number 1821081571
LBN Legal business name Kaiser, Mary Julia
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2005
Last updated Aug 20th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821081571 NPPES
Kentucky Other 000000348467 ANTHEM
Kentucky MEDICAID 78012762 ANTHEM

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