Provider Demographics
NPI:1639920713
Name:LAY, ERNEST SCOTT (APSS)
Entity type:Individual
Prefix:
First Name:ERNEST
Middle Name:SCOTT
Last Name:LAY
Suffix:
Gender:M
Credentials:APSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2822 W MUHAMMAD ALI BLVD
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40212-1745
Mailing Address - Country:US
Mailing Address - Phone:502-521-8394
Mailing Address - Fax:
Practice Address - Street 1:2822 W MUHAMMAD ALI BLVD
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40212-1745
Practice Address - Country:US
Practice Address - Phone:502-521-8394
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker