SearchKentucky103K00000X

Miranda Board

NPI 1659033132 · on the registry since 2021

Practice

Address
402 W Lincoln Trail Blvd
Radcliff, KY 40160
Phone
(502) 548-1691
Clinicians at this address
9

Additional practice sites

  • 603 W Main St, Glasgow, KY

Registry record

Primary taxonomy
103K00000X
103K00000X
Also registered as
106S00000X
Sex
Female
Record last updated
2025-11-19

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