Individual
MICHELLE LOUISE BROUGHTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
602 KNOX ST, BARBOURVILLE, KY 40906-1304
(606) 546-6027
(606) 546-2084
Mailing address
PO BOX 1325, CORBIN, KY 40702-1325
(606) 526-8131
(606) 528-8661
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006067
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100100740
—
KY
01
—
P01432838
RR MCR
KY
Enumeration date
07/02/2009
Last updated
12/08/2020
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