Healthcare Provider Details

I. General information

NPI: 1689025462
Provider Name (Legal Business Name): AP CASE MANAGEMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/23/2016
Last Update Date: 06/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 SPRING BANK DR BUILDING C SUITE 13
OWENSBORO KY
42303
US

IV. Provider business mailing address

1401 SPRING BANK DR BUILDING C SUITE 13
OWENSBORO KY
42303
US

V. Phone/Fax

Practice location:
  • Phone: 270-344-1814
  • Fax: 270-684-9794
Mailing address:
  • Phone: 270-344-1814
  • Fax: 270-684-9794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: AMBER PAYNE
Title or Position: OWNER
Credential:
Phone: 270-925-1383