Organization
ELYSIAN WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGG K ARENA MD (PRESIDENT)
(606) 877-5277
Entity
Organization
Contact information
Practice address
1690 HIGHWAY 192 W, LONDON, KY 40741-1673
(606) 877-5277
Mailing address
1690 HIGHWAY 192 W, LONDON, KY 40741-1673
(606) 877-5277
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/07/2008
Last updated
06/27/2011
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