Individual
AISHA S HAVILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
142 ROGER POWELL RD, SEBREE, KY 42455-2115
(731) 394-1145
Mailing address
PO BOX 269084, DEPT 1102, OKLAHOMA CITY, OK 73126
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
4038094
KY
363LF0000X
Family Nurse Practitioner
71009776A
IN
Other
Enumeration date
01/13/2020
Last updated
07/01/2025
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