Individual
SUSAN GAIL DAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
711 BOOTH AVE, OWENSBORO, KY 42301-5038
(270) 316-4411
Mailing address
808 E 21ST ST, OWENSBORO, KY 42303-5147
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1120554
KY
Other
Enumeration date
08/08/2022
Last updated
08/08/2022
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