Individual
LAURA KRISTINE VANDENBROEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHARMD
Contact information
Practice address
1401 KEENE RD, NICHOLASVILLE, KY 40356
(859) 881-3652
(859) 881-5975
Mailing address
6475 DELANEY FERRY EXTENSION, VERSAILLES, KY 40383
(859) 879-0012
(859) 881-5975
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
012171
KY
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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