Individual
PHYLLIS CORNELIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1717 MADISON AVE, COVINGTON, KY 41011-3330
(859) 360-0254
(859) 261-0801
Mailing address
1717 MADISON AVE, COVINGTON, KY 41011-3330
(859) 360-0254
(859) 261-0801
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2017284
KY
Other
Enumeration date
04/05/2024
Last updated
04/05/2024
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