Individual
LAUREL ALEXANDER DARHALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN-FNP
Contact information
Practice address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(270) 735-7702
Mailing address
289 IRELAND AVE, FORT KNOX, KY 40121-5111
(270) 735-7702
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010009
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104287234
1104287234
KY
Enumeration date
03/17/2016
Last updated
10/25/2016
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