Provider Demographics
NPI:1053644401
Name:AK HEALTHCARE MANAGEMENT INC.
Entity Type:Organization
Organization Name:AK HEALTHCARE MANAGEMENT INC.
Other - Org Name:SAINT CAMILLUS URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ARNP
Authorized Official - Prefix:MR
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:WARD
Authorized Official - Suffix:II
Authorized Official - Credentials:ARNP
Authorized Official - Phone:270-684-0023
Mailing Address - Street 1:3600 FREDERICA ST
Mailing Address - Street 2:A & B
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42301-6981
Mailing Address - Country:US
Mailing Address - Phone:270-684-0023
Mailing Address - Fax:270-684-0065
Practice Address - Street 1:3600 FREDERICA ST
Practice Address - Street 2:A & B
Practice Address - City:OWENSBORO
Practice Address - State:KY
Practice Address - Zip Code:42301-6981
Practice Address - Country:US
Practice Address - Phone:270-684-0023
Practice Address - Fax:270-684-0065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-16
Last Update Date:2011-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3424P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Single Specialty