Individual
MRS. MIMI Y. R. RAYBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
865 OLD TAYLORSVILLE RD, SHELBYVILLE, KY 40065
(502) 437-0450
Mailing address
865 OLD TAYLORSVILLE RD, SHELBYVILLE, KY 40065
(502) 437-0450
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006746
KY
Other
Enumeration date
07/05/2011
Last updated
04/05/2017
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