Individual
VICKI GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
472 KLUTEY PARK PLAZA DR, HENDERSON, KY 42420-3348
(270) 826-3951
(270) 827-5527
Mailing address
PO BOX 309, GREEN RIVER DISTRICT HEALTH DEPARTMENT, OWENSBORO, KY 42302-0309
(270) 686-7747
(270) 926-9862
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2606P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100007260
—
KY
Enumeration date
01/17/2006
Last updated
12/23/2008
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