Individual
CANDACE M DENNISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
600 MAIN STREET, MUNFORDFILLE, KY 42765-9426
(270) 524-2889
(270) 524-2893
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 864-1472
(270) 864-1693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017968
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100828740
—
KY
Enumeration date
07/05/2022
Last updated
03/13/2025
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