Provider Demographics
NPI:1730245655
Name:DENNEY, CAROL S (ARNP)
Entity type:Individual
Prefix:
First Name:CAROL
Middle Name:S
Last Name:DENNEY
Suffix:
Gender:F
Credentials:ARNP
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 1080
Mailing Address - Street 2:
Mailing Address - City:BURKESVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42717-1080
Mailing Address - Country:US
Mailing Address - Phone:270-864-1472
Mailing Address - Fax:606-864-1693
Practice Address - Street 1:606 BURKESVILLE RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:KY
Practice Address - Zip Code:42602-1612
Practice Address - Country:US
Practice Address - Phone:606-387-4251
Practice Address - Fax:606-387-5785
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3003002363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY3003002OtherKENTUCKY APRN NO.
KY78006491Medicaid
KYK033300Medicare PIN
KY181868Medicare PIN
KY7100017280Medicaid