Individual
MIKAYLA H COLLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
515 MEMORIAL DR STE 3, MANCHESTER, KY 40962-9157
(606) 599-0169
(606) 599-0297
Mailing address
515 MEMORIAL DR STE 3, MANCHESTER, KY 40962-9157
(606) 599-0169
(606) 599-0297
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4009969
KY
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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