Provider Demographics
NPI:1689781759
Name:AKERS, MARY CAROL (CNM, PHD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:CAROL
Last Name:AKERS
Suffix:
Gender:F
Credentials:CNM, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 OXFORD CT
Mailing Address - Street 2:
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-9181
Mailing Address - Country:US
Mailing Address - Phone:270-737-0303
Mailing Address - Fax:270-737-0030
Practice Address - Street 1:1704 N DIXIE HWY
Practice Address - Street 2:SUITE E-7
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-9449
Practice Address - Country:US
Practice Address - Phone:502-939-6366
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-24
Last Update Date:2014-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3001952367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife