Individual
DIRK AEAN CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, DNP
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-0001
(859) 323-6047
(859) 257-3873
Mailing address
1000 S LIMESTONE, LEXINGTON, KY 40536-0001
(859) 257-1000
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
4008583
KY
Other
Enumeration date
04/17/2024
Last updated
08/20/2024
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