Individual
SIAN ELISABETH WATERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 BACK SQUARE DR STE D, OWENSBORO, KY 42301-7411
(270) 685-5500
Mailing address
5000 BACK SQUARE DR STE D, OWENSBORO, KY 42301-7411
(270) 685-5500
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/03/2025
Last updated
03/03/2025
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