Individual
MICHAEL MCCANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 W STEPHEN FOSTER AVE, SUITE 102, BARDSTOWN, KY 40004-1465
(502) 348-0377
(502) 348-0379
Mailing address
120 W STEPHEN FOSTER AVE, SUITE 102, BARDSTOWN, KY 40004-1465
(502) 348-0377
(502) 348-0379
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
500135
KY
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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