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FIBRO CARE CLINIC LLC NPI 1942466784


NPI Information

NPI: 1942466784
Provider Name: FIBRO CARE CLINIC, LLC

Doing Business As: BIRK GROVE LIFE CENTRE

Classification: Nurse Practitioner - 363L00000X
Entity Type: Organization
Address:
5150 VILLAGE SQUARE DR
PADUCAH, KY
ZIP 42001
Phone: (270) 415-9575
Get Directions

FIBRO CARE CLINIC, LLC is a nurse practitioner in Paducah, KY. The provider is (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. FIBRO CARE CLINIC, LLC NPI is 1942466784. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Birk Grove Life Centre.

The provider's business location address is:

5150 VILLAGE SQUARE DR
PADUCAH, KY
ZIP 42001-060
Phone: (270) 415-9575

The provider's authorized official is Kimberly Rommelman .
The authorized official title is Business Manager and has the following contact phone number (270) 415-9575.

The enumeration date for this NPI number is 7/31/2008 and was last updated on 11/11/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical1672KENTUCKYNo
2225100000XPhysical Therapist003235KENTUCKYNo
3363L00000XNurse Practitioner4806PKENTUCKYYes

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: 4/28/2024

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