Martin, Carol Ennis

Martin, Carol Ennis is an individual health care provider with primary practice located at The Kentucky Clinic Wing D J252 740 S. Limestone, Lexington KY 40536. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Martin, Carol Ennis can be contacted via phone (859) 323-2089.

Contact Information

Primary practice address
The Kentucky Clinic Wing D J252 740 S. Limestone Lexington KY 40536
Phone: (859) 323-2089
Fax: (859) 218-7487
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3002688 Kentucky

Profile Details

NPI number 1598804973
LBN Legal business name Martin, Carol Ennis
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated Sep 8th, 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 1598804973 NPPES
Kentucky MEDICAID 78026887

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