Individual
LISA NELL MCINTOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-5163
Mailing address
735 NORTH DR, HOPKINSVILLE, KY 42240-2620
(270) 886-5163
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1084247
KY
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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