Annandlee, PLLC
Organization Active NPI Emergency Medicine Physician · Bardstown, KY
NPI 1720036429 · NPPES record last updated May 17, 2011
Key facts
- NPI
- 1720036429
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ANNANDLEE, PLLC
- Practice address
- 118 Patriot Drive
Suite 102
Bardstown, KY 40004 - Phone
- (502) 350-1022
- Fax
- (502) 350-1023
- NPI assigned
- May 4, 2006
- Organization subpart
- No
Authorized official
- Name
- Charles W Parrish, MD
- Title
- Owner/Physician
- Phone
- (502) 350-1022
Practitioners 1
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes | ||
| Physician Assistant |
363A00000X | |||
| Family Nurse Practitioner |
363LF0000X |
Addresses
Primary practice location
118 Patriot Drive
Suite 102
Bardstown, KY 40004
Mailing address
118 Patriot Drive
Suite 102
Bardstown, KY 40004
Phone (502) 350-1022
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65945263 | Medicaid | KY | |
| 78905015 | Medicaid | KY |
Other names
- Bardstown Ambulatory Care
Other providers in Bardstown, KY
- Alternative Health Solutions LLC
- Anderson & Bowlds PLLC
- Frances Nicole Anderson
- Mickey Dale Anderson
- Andrea G. Haydon, DMD PLLC
- Ashley Strange, LCSW, PLLC
- Associates in General Surgery,PSC
- Astra Recovery Centers, LLC
- Amy Auberry
- Khariza Mae C Bagacay
All providers in Bardstown, KY · Emergency Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 17, 2011. 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.