Lopez, Mary Beth

Lopez, Mary Beth is an individual health care provider with primary practice located at 39 Cumberland Gap Plz , Gray KY 40734-4536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Lopez, Mary Beth can be contacted via phone (606) 526-9005.

Contact Information

Primary practice address
39 Cumberland Gap Plz Gray KY 40734-4536
Phone: (606) 526-9005
Fax: (606) 526-8607
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3008095 Kentucky

Profile Details

NPI number 1396184255
LBN Legal business name Lopez, Mary Beth
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2013
Last updated Jan 17th, 2019 - about 7 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 1396184255 NPPES
Kentucky MEDICAID 7100348960

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