Individual
MRS. BOBBIE J. CONRAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
165 HALLS BRANCH RD, STANTON, KY 40380-8033
(606) 663-0114
(606) 663-0114
Mailing address
165 HALLS BRANCH RD, STANTON, KY 40380-8033
(606) 663-0114
(606) 663-0114
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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