Provider Demographics
NPI:1053654509
Name:ABNEY, LORI P (ARNP)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:P
Last Name:ABNEY
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:BETH
Other - Last Name:PERRY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:58 CITATION LN
Mailing Address - Street 2:
Mailing Address - City:CAMPBELLSBURG
Mailing Address - State:KY
Mailing Address - Zip Code:40011-7590
Mailing Address - Country:US
Mailing Address - Phone:502-532-7341
Mailing Address - Fax:502-532-0127
Practice Address - Street 1:58 CITATION LN
Practice Address - Street 2:
Practice Address - City:CAMPBELLSBURG
Practice Address - State:KY
Practice Address - Zip Code:40011-7590
Practice Address - Country:US
Practice Address - Phone:502-532-7341
Practice Address - Fax:502-532-0127
Is Sole Proprietor?:No
Enumeration Date:2013-04-03
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3007904363L00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000848153OtherANTHEM
KY50055789OtherPASSPORT HEALTH PLAN
KY7100252670Medicaid
KY7100252670Medicaid