Individual
LINDY NETTLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
645 INTERSTATE DR, GRAYSON, KY 41143-1704
(606) 474-0669
(606) 474-0376
Mailing address
330 SEVEN SPRINGS WAY, BRENTWOOD, TN 37027-5098
(615) 920-7723
(615) 920-8775
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
04270
KY
207Q00000X
Family Medicine Physician
36691
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDNG
—
KY
Enumeration date
06/02/2014
Last updated
09/06/2023
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