Individual
MS. SUSAN JEAN WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
(859) 281-3823
Mailing address
1101 VETERANS DR, LEXINGTON, KY 40502-2235
(859) 233-4511
(859) 281-3823
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1031040
KY
Other
Enumeration date
03/30/2010
Last updated
03/30/2010
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