Individual
REBECCA LUTTRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
415 GIBSON LN, RICHMOND, KY 40475-2577
(859) 661-4526
(859) 623-9160
Mailing address
1351 NEWTOWN PIKE BLDG 1, LEXINGTON, KY 40511-1277
(859) 253-1686
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013628
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
01
—
3013628
APRN LICENSE NUMBER
KY
Enumeration date
12/16/2019
Last updated
01/17/2024
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