Healthcare Provider Details

I. General information

NPI: 1619344975
Provider Name (Legal Business Name): MEGAN NICOLE CAHILL NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2015
Last Update Date: 09/28/2020
Certification Date: 09/28/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6420 DUTCHMANS PKWY SUITE 200
LOUISVILLE KY
40205-3372
US

IV. Provider business mailing address

PO BOX 776351
CHICAGO IL
60677-6351
US

V. Phone/Fax

Practice location:
  • Phone: 502-891-8300
  • Fax: 502-891-8338
Mailing address:
  • Phone: 502-588-9490
  • Fax: 502-272-5116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number3009619
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: