Mobile Healthcare, PLLC

Organization Active NPI Family Nurse Practitioner · Smithfield, KY

NPI 1598097545 · NPPES record last updated Oct 10, 2011

Key facts

NPI
1598097545
Entity type
Organization (NPI type 2)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
5450P (KY)
Legal business name
MOBILE HEALTHCARE, PLLC
Practice address
111 Coakley LN
Smithfield, KY 40068
Phone
(502) 544-8704
NPI assigned
Feb 2, 2010
Organization subpart
No

Authorized official

Name
Ms. Carol Cornett, ARNP
Title
Arnp
Phone
(502) 544-8704

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

7505 New La Grange Rd
Louisville, KY 40222
Phone (502) 412-3232

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LF0000X 5450P KY Yes

Addresses

Primary practice location

111 Coakley LN
Smithfield, KY 40068

Mailing address

111 Coakley LN
Smithfield, KY 40068
Phone (502) 544-8704

Other identifiers

IdentifierTypeStateIssuer
7100075620MedicaidKY

Other providers in Smithfield, KY

All providers in Smithfield, KY · Family Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.