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NPI 1801587878 · on the registry since 2023

Practice

Address
316 Gunnell Br
Banner, KY 41603
Phone
(606) 226-7269

Registry record

Primary taxonomy
1041S0200X
1041S0200X
Sex
Female
Record last updated
2023-05-18

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