Individual
GLENNA LAURA PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
650 NEWTOWN PIKE, LEXINGTON, KY 40508-1113
(859) 252-2371
Mailing address
3450 N CLEVELAND RD, LEXINGTON, KY 40516-9663
(859) 299-1054
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
1035685
KY
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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