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1750750352 NPI number — KELLY EFFINGER APRN

NPI Number: 1750750352
Health Care Provider/Practitioner: KELLY EFFINGER APRN

Information about “1750750352” NPI (KELLY EFFINGER APRN) exists in 1750750352 in HTML format HTML  |  1750750352 in plain Text format TXT  |  1750750352 in PDF (Portable Document Format) PDF  |  1750750352 in an XML format XML  formats.

NPI Number : 1750750352 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1750750352",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "EFFINGER",
    "FirstName": "KELLY",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "APRN",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "6400 DUTCHMANS PKWY",
    "SecondLineMailingAddress": "SUITE 250",
    "MailingAddressCityName": "LOUISVILLE",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "40205-3340",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "502-587-9660",
    "MailingAddressFaxNumber": "502-540-5615",
    "FirstLinePracticeLocationAddress": "6400 DUTCHMANS PKWY",
    "SecondLinePracticeLocationAddress": "SUITE 250",
    "PracticeLocationAddressCityName": "LOUISVILLE",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "40205-3340",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "502-587-9660",
    "PracticeLocationAddressFaxNumber": "502-540-5615",
    "EnumerationDate": "09/24/2015",
    "LastUpdateDate": "09/24/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "363L00000X",
        "TaxonomyName": "Nurse Practitioner",
        "LicenseNumber": "3009742",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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