Pate, Connie J

Pate, Connie J is an individual health care provider with primary practice located at 4305 New Shepherdsville Rd , Bardstown KY 40004-9019. 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. Pate, Connie J can be contacted via phone (502) 350-5000.

Contact Information

Primary practice address
4305 New Shepherdsville Rd Bardstown KY 40004-9019
Phone: (502) 350-5000
Fax: (502) 350-5022
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3608P Kentucky

Profile Details

NPI number 1669412334
LBN Legal business name Pate, Connie J
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Jul 26th, 2007 - about 19 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1669412334 NPPES
Other 000000388646 ANTHEM
Other 3608P ANTHEM
MEDICAID 78006558 ANTHEM

Popular Providers