Individual
BARBARA REVELETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16508 CROOKED LN, FISHERVILLE, KY 40023-9773
(502) 762-4254
Mailing address
16508 CROOKED LN, FISHERVILLE, KY 40023-9773
(502) 762-4254
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1126095
KY
Other
Enumeration date
07/30/2021
Last updated
07/30/2021
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