Individual
LEWAUNA RENEE REARDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
905 W RUSSELL ST, ELKHORN CITY, KY 41522-9032
(606) 754-4154
Mailing address
905 W RUSSELL ST, ELKHORN CITY, KY 41522-9032
(606) 745-4415
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006735
KY
Other
Enumeration date
02/17/2011
Last updated
02/17/2011
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