Organization · Type 2 NPI
Kentucky Medical Care
Nurse Practitioner · Beaver Dam, KY
Practice location
1297 Thompson Dr
Beaver Dam, KY 42320-9177
Mailing address
PO Box 331
Hartford, KY 42347-0331
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nurse Practitioner Primary | 363L00000X | None listed |
Nurse Practitioner: (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 wit…
Another provider at this address
Other nurse practitioner providers in Beaver Dam
About NPI 1134060080
Kentucky Medical Care's National Provider Identifier is 1134060080, issued on Apr 3, 2026. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Beaver Dam, KY. The record was last updated on May 26, 2026.