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Individual

JACLYN ENGELSHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, DOM

Contact information

Practice address
10605 MEETING STREET, SUITE 102, PROSPECT, KY 40059
(502) 417-4211
Mailing address
10605 MEETING STREET, SUITE 102, PROSPECT, KY 40059
(502) 417-4211

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC004
KY
171100000X
Acupuncturist
AC004/724
KY
363L00000X
Nurse Practitioner
Primary
3006428
KY

Other

Enumeration date
10/21/2008
Last updated
11/01/2011
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