Individual
INNA OKSANA MALYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.A.
Contact information
Practice address
124 E OFFICE ST, HARRODSBURG, KY 40330-1606
(502) 229-9196
Mailing address
124 E OFFICE ST, HARRODSBURG, KY 40330-1606
(502) 229-9196
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
09/01/2015
Last updated
09/04/2015
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