Organization
COUNTY OF NELSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. WANDA F WARD (OFFICE MANAGER)
(502) 348-4929
Entity
Organization
Contact information
Practice address
1301 ATKINSON HILL AVE, BARDSTOWN, KY 40004-7770
(502) 348-4929
(502) 348-2852
Mailing address
PO BOX 578, BARDSTOWN, KY 40004-0578
(502) 348-4929
(502) 348-2852
Taxonomy
Speciality
Code
Description
License number
State
3416L0300X
Land Ambulance
Primary
1363
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1166649
—
KY
05
—
55000723
—
KY
05
—
56022601
—
KY
Enumeration date
06/30/2005
Last updated
01/24/2013
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