Individual
MICHELE LEE BODINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
800 ROSE ST, LEXINGTON, KY 40536-7001
(859) 323-6047
Mailing address
800 ROSE ST, LEXINGTON, KY 40536-7001
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
3012881
KY
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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