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Organization

ONLY YOU WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SUSANNA LEIGH MOBERLY (OWNER)
(859) 241-1136
Entity
Organization

Contact information

Practice address
459 KEENE CENTRE DR, NICHOLASVILLE, KY 40356-1492
(859) 241-1136
(859) 241-1009
Mailing address
459 KEENE CENTRE DR, NICHOLASVILLE, KY 40356-1492
(859) 241-1136
(859) 241-1009

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1568843316
KY
Enumeration date
04/10/2025
Last updated
12/10/2025
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