Individual
LAKEN NICOLE RUNNELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
107 MERIDIAN WAY STE 200, RICHMOND, KY 40475-2878
(859) 624-6366
Mailing address
309 WILSHIRE WAY, RICHMOND, KY 40475-6501
(859) 582-9695
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014796
KY
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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