Individual
MS. KENYATTA LOUISE MCCRARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
300 BRIGHTON PARK BLVD, FRANKFORT, KY 40601
(786) 477-0577
Mailing address
PO BOX 80, FRANKFORT, KY 40602-0080
(786) 477-0577
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3018226
KY
363LF0000X
Family Nurse Practitioner
Primary
3018226
KY
Other
Enumeration date
08/18/2022
Last updated
09/15/2022
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