Individual
PHYLLIS B. REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
486 HELTON ST, ABUNDANT LIVING COUNSELING, WILLIAMSTOWN, KY 41097-3526
(859) 391-6046
(859) 824-7091
Mailing address
265 FERNWOOD DR, WILLIAMSTOWN, KY 41097-4203
(859) 391-6046
(859) 824-7091
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1026616
KY
363L00000X
Nurse Practitioner
Primary
3005009
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78018033
—
KY
01
—
P00677533
RAIL ROAD MEDICARE
KY
Enumeration date
11/20/2006
Last updated
12/30/2014
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