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Individual

ALLISON ELIZABETH LANDRETH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
927 KENTON STATION DR, MAYSVILLE, KY 41056-9617
(606) 759-0433
(606) 759-0058
Mailing address
PO BOX 550, VANCEBURG, KY 41179-0550
(606) 956-0162

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3013464
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100634870
KY
Enumeration date
06/11/2019
Last updated
11/18/2020
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