Provider Demographics
NPI:1285600742
Name:HELTON, PAMELA W (ARNP)
Entity type:Individual
Prefix:MRS
First Name:PAMELA
Middle Name:W
Last Name:HELTON
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 1:3121 WALL ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-9007
Mailing Address - Country:US
Mailing Address - Phone:859-219-9444
Mailing Address - Fax:
Practice Address - Street 1:3121 WALL ST
Practice Address - Street 2:SUITE 200
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1711
Practice Address - Country:US
Practice Address - Phone:859-219-9444
Practice Address - Fax:859-219-9454
Is Sole Proprietor?:No
Enumeration Date:2006-02-24
Last Update Date:2008-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY4337P363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q34504Medicare UPIN
KY1566401Medicare PIN
1566402Medicare PIN