Individual
MISS CONNIE DENISE WILBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
806 SEATON AVE, SUITE 1, GREENUP, KY 41144-1196
(606) 473-9838
(606) 473-6405
Mailing address
PO BOX 377, GREENUP, KY 41144-0377
(606) 473-9838
(606) 473-6405
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
2737P
KY
Other
Enumeration date
07/07/2008
Last updated
02/22/2013
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