Individual
ELIZABETH GARRISON SALT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
211 FOUNTAIN CT STE 220, LEXINGTON, KY 40509-2696
(859) 629-7265
(859) 629-7266
Mailing address
PO BOX 936, LONDON, KY 40743-0936
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3004602
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78014859
—
KY
Enumeration date
08/09/2006
Last updated
07/11/2019
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