SearchKentucky104100000X

Autumn Woods

NPI 1619618824 · on the registry since 2022 · sole proprietor

Practice

Address
9 E Arch St
Madisonville, KY 42431
Phone
(270) 491-3942
Organisation at this address
Brightview Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
104100000X
104100000X
Also registered as
101YA0400X
Licence states on file
KY
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-02-12

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky