Individual
KYRA ANNE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2602 ARISTOCRAT PL UNIT 304, LOUISVILLE, KY 40299-6154
(760) 713-9985
Mailing address
2602 ARISTOCRAT PL UNIT 304, LOUISVILLE, KY 40299-6154
(760) 713-9985
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4004987
KY
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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