Individual
ELEANOR H PUCKETT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
10510 LAGRANGE RD, LOUISVILLE, KY 40223-1277
(502) 253-7194
Mailing address
10510 LAGRANGE RD, LOUISVILLE, KY 40223-1277
(502) 253-7194
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1028841
KY
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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