Individual
KYOUNG ETHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
310 S LIMESTONE, LEXINGTON, KY 40508-3008
(859) 266-7700
Mailing address
PO BOX 1429, FRANKFORT, KY 40602-1429
(502) 226-3858
(502) 223-9829
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4437P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100038320
—
KY
Enumeration date
06/15/2007
Last updated
08/22/2008
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