Individual
LORETTA BENITA SHUNK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
645 S ROY WILKINS AVE, LOUISVILLE, KY 40203-2072
(502) 583-6988
(502) 416-0908
Mailing address
645 S ROY WILKINS AVE, LOUISVILLE, KY 40203-2072
(502) 583-6988
(502) 416-0908
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3007129
KY
Other
Enumeration date
07/09/2013
Last updated
09/22/2015
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