Medley, Ingrid

Medley, Ingrid is an individual health care provider with primary practice located at 151 Drexler Cir Ste 1, Elizabethtown KY 42701-7843. 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. Medley, Ingrid can be contacted via phone (270) 506-2730.

Contact Information

Primary practice address
151 Drexler Cir Ste 1 Elizabethtown KY 42701-7843
Phone: (270) 506-2730
Fax: (270) 900-0704
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 2641S Kentucky

Profile Details

NPI number 1952357774
LBN Legal business name Medley, Ingrid
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jan 15th, 2016 - about 10 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 1952357774 NPPES
Other 11386453 CAQH
Other 000000174962 CAQH
MEDICAID 30605018 CAQH
Other 341184 CAQH

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