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General NPI Number Information
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NPI Number | 1205746906
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Entity Type | Organization
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Legal Business Name | KENTUCKY MOBILE HEALTHCARE PLLC
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Dates
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Enumeration Date | 09/08/2026
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Last Update Date | 09/08/2026
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Provider Practice Location Address
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Address Line | 3960 SCHOLLSVILLE RD
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City | WINCHESTER
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State | KY
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Zip | 40391-8667
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Country | US
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Telephone | 859-379-8591
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Fax |
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Provider Business Mailing Address
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Address Line | 3960 SCHOLLSVILLE RD
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City | WINCHESTER
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State | KY
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Zip | 40391-8667
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Country | US
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Telephone | 859-379-8591
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KELLY MILLER
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Credential | APRN
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Telephone | 859-379-8591
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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