Individual
DIANE LYNN THIERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
805 BURKESVILLE ST, COLUMBIA, KY 42728-1655
(270) 384-1110
(270) 384-4241
Mailing address
805 BURKESVILLE ST, COLUMBIA, KY 42728-1655
(270) 384-1110
(270) 384-4241
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
1256
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78001021
—
KY
Enumeration date
06/08/2005
Last updated
07/08/2007
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