BALANCED LIFE PRIMARY CARE LLC NPI 1639561806

NPI Information

NPI: 1639561806
Provider Name: BALANCED LIFE PRIMARY CARE, LLC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Organization

Specialization: Family

Address:
3240 MOUNT MORIAH AVE
OWENSBORO, KY
ZIP 42303
Phone: (270) 686-6168
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BALANCED LIFE PRIMARY CARE, LLC is a family nurse practitioner in Owensboro, KY. BALANCED LIFE PRIMARY CARE, LLC NPI is 1639561806. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3240 MOUNT MORIAH AVE
OWENSBORO, KY
ZIP 42303-805
Phone: (270) 686-6168
Fax: (270) 686-6140

The provider's authorized official is Randall E King .
The authorized official title is Owner and has the following contact phone number (270) 686-6168.

The enumeration date for this NPI number is 2/25/2015 and was last updated on 2/25/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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