Individual
KATHY LYNNE VINCENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, NP-BC
Contact information
Practice address
215 E MAIN ST, PROVIDENCE, KY 42450-1261
(270) 667-7017
(270) 667-9065
Mailing address
PO BOX 37, PROVIDENCE, KY 42450-0037
(270) 667-7017
(270) 667-9065
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006796
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201020300
—
IN
05
—
7100155800
—
KY
Enumeration date
01/18/2011
Last updated
03/02/2018
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