Individual
RUTH LANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 RICHMOND ST., MT. VERNON, KY 40456
(606) 256-2242
(606) 256-5482
Mailing address
PO BOX 158, MANCHESTER, KY 40962-0158
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2477 P
KY
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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