Provider Demographics
NPI:1336282375
Name:NEFF, LINDA K (APRN)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:K
Last Name:NEFF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 147
Mailing Address - Street 2:
Mailing Address - City:IRVINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40146-0147
Mailing Address - Country:US
Mailing Address - Phone:270-547-7161
Mailing Address - Fax:270-547-7163
Practice Address - Street 1:205 WEST US 60
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:KY
Practice Address - Zip Code:40146
Practice Address - Country:US
Practice Address - Phone:270-547-7161
Practice Address - Fax:270-547-7163
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2015-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3002818363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000323404OtherANTHEM
KY78014982Medicaid
KY2442755000OtherPASSPORT ADVANTAGE
KY50001128OtherPASSPORT HEALTH PLAN
KY500016731OtherRAILROAD MEDICARE
KYK178400Medicare PIN