Individual
OLIVIA ETHINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-5956
(859) 323-1080
Mailing address
740 SOUTH LIMESTONE KY CLINIC, LEXINGTON, KY 40536-0001
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
1139968
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
4015241
KY
Other
Enumeration date
12/15/2023
Last updated
02/02/2024
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