Provider Demographics
NPI:1326287905
Name:AESTHETIC ASSOCIATES & WOMEN'S HEALTH LLC
Entity Type:Organization
Organization Name:AESTHETIC ASSOCIATES & WOMEN'S HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:HELEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:CAYCE
Authorized Official - Suffix:
Authorized Official - Credentials:ARNP
Authorized Official - Phone:270-886-7427
Mailing Address - Street 1:112 KEETON DR
Mailing Address - Street 2:
Mailing Address - City:HOPKINSVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42240-8756
Mailing Address - Country:US
Mailing Address - Phone:270-886-7427
Mailing Address - Fax:270-885-7786
Practice Address - Street 1:112 KEETON DR
Practice Address - Street 2:
Practice Address - City:HOPKINSVILLE
Practice Address - State:KY
Practice Address - Zip Code:42240-8756
Practice Address - Country:US
Practice Address - Phone:270-886-7427
Practice Address - Fax:270-885-7786
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-02-05
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY2009P363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY00950Medicare PIN