Larkin, Mellisa L

Larkin, Mellisa L is an individual health care provider with primary practice located at 4001 Kresge Way Suite 100, Louisville KY 40207-4640. 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. Larkin, Mellisa L can be contacted via phone (502) 897-6579.

Contact Information

Primary practice address
4001 Kresge Way Suite 100 Louisville KY 40207-4640
Phone: (502) 897-6579
Fax: (502) 897-2725
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002601 Kentucky

Profile Details

NPI number 1407838311
LBN Legal business name Larkin, Mellisa L
Credentials A.R.N.P
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Dec 10th, 2020 - about 6 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 1407838311 NPPES
Kentucky Other 1076667 REGISTERED NURSE LICENSE
Kentucky Other 2601P REGISTERED NURSE LICENSE

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