Individual
REBECCA ANN VANDIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2135 HIGHWAY 1185, LOUISA, KY 41230-7968
(606) 686-3388
Mailing address
2135 HIGHWAY 1185, LOUISA, KY 41230
(606) 686-3388
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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