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Individual

MRS. JUDY ANN RENFRO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
214 BOGGS LN, RICHMOND, KY 40475-2522
(859) 623-7312
(859) 623-5910
Mailing address
214 BOGGS LN, RICHMOND, KY 40475-2522
(859) 623-7312

Taxonomy

Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
2244P
KY
363LC1500X
Community Health Nurse Practitioner
Primary
3002244
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100132720
KY
Enumeration date
01/23/2007
Last updated
02/02/2017
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