Polly Cummins
Individual provider Active NPI Case Manager/Care Coordinator · Germantown, KY
NPI 1114120987 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114120987
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- License
- 01978 (KY)
- Practice address
- 4315 Woodward Rd
Germantown, KY 41044-9007 - Phone
- (606) 883-3125
- Fax
- (606) 883-3125
- NPI assigned
- Jun 7, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01978 | KY | MD | Case Manager/Care Coordinator |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | 01978 | KY | Yes |
Addresses
Primary practice location
4315 Woodward Rd
Germantown, KY 41044-9007
Mailing address
4315 Woodward Rd
Germantown, KY 41044-9007
Phone (606) 883-3125
Other providers in Germantown, KY
- Meagan Brannon
- Christopher Joss Coppola
- Jaivion Delano Garcia
- Joshua James Klosterman
- Sage Home Health Care LLC
All providers in Germantown, KY · Case Manager/Care Coordinator in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.