Individual
LAREE SHIVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
73 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9604
(270) 849-2379
Mailing address
1700 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-9615
(270) 465-3561
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3015305
KY
Other
Enumeration date
09/25/2020
Last updated
02/27/2024
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