Individual
CANDICE MARIE LEWIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2201 LEXINGTON AVE, ASHLAND, KY 41101-2843
(606) 408-4000
(606) 408-6825
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6612
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
3010619
KY
363LF0000X
Family Nurse Practitioner
3010619
KY
363LG0600X
Gerontology Nurse Practitioner
Primary
3010619
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100463870
—
KY
Enumeration date
08/05/2016
Last updated
02/22/2021
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