Charis Healthcare PLLC

Organization Active NPI Adult Health Nurse Practitioner · Crestwood, KY

NPI 1821471103 · NPPES record last updated Jul 3, 2015

Key facts

NPI
1821471103
Entity type
Organization (NPI type 2)
Primary specialty
Adult Health Nurse Practitioner 363LA2200X
License
3009472 (KY)
Legal business name
CHARIS HEALTHCARE PLLC
Practice address
3811 Barbara Ann Blvd
Crestwood, KY 40014-9237
Phone
(502) 599-4158
Fax
(502) 614-7181
NPI assigned
Jul 3, 2015
Organization subpart
No

Authorized official

Name
Mr. Amandeep Singh
Title
Billing Manager
Phone
(502) 565-4355

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner
Group: 193400000X SINGLE SPECIALTY GROUP
363LA2200X 3009472 KY Yes

Addresses

Primary practice location

3811 Barbara Ann Blvd
Crestwood, KY 40014-9237

Mailing address

3811 Barbara Ann Blvd
Crestwood, KY 40014-9237
Phone (502) 599-4158

Other providers in Crestwood, KY

All providers in Crestwood, KY · Adult Health Nurse Practitioner in Kentucky

Sources for this page

Verify at the official NPI Registry.