Organization
COMPLETE FAMILY CARE PRACTITIONERS
Active
Other names
Complete Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KELLY WHITE APRN (OWNER/NURSE PRACTITIONER)
(270) 422-2200
Entity
Organization
Contact information
Practice address
1065 OLD EKRON RD, BRANDENBURG, KY 40108-1735
(270) 422-2200
Mailing address
1065 OLD EKRON RD, BRANDENBURG, KY 40108-1735
(270) 422-2200
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100234400
—
KY
Enumeration date
01/04/2013
Last updated
10/25/2016
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