Kara Elam, RN
Individual provider Active NPI Registered Nurse · Sandy Hook, KY
NPI 1629100706 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1629100706
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1080933 (KY)
- Practice address
- RR 5 Box 800
Sandy Hook, KY 41171-9200 - Phone
- (606) 738-6163
- Fax
- (606) 738-5030
- NPI assigned
- Mar 12, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1080933 | KY | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1080933 | KY | Yes |
Addresses
Primary practice location
RR 5 Box 800
Sandy Hook, KY 41171-9200
Mailing address
PO Box 790
Ashland, KY 41105-0790
Phone (606) 329-8588
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000368078 | Other | ANTHEM BCBS | |
| 30610026 | Medicaid | KY |
Other providers in Sandy Hook, KY
- John Brett Dickerson
- Discount Drug Mart, Inc
- Diversicare Leasing Corp.
- Dr. Kimberly a. Buckner, P.L.C.
- Carla Dianne Dyer
- Elliott County Ambulance Service
- Elliott County Health Center
- Elliott County Schools
- Elliott Nursing and Rehabilitation LLC
- Sally A Ferguson
All providers in Sandy Hook, KY · Registered Nurse 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.