Organization
MOBILE HEALTHCARE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL CORNETT ARNP (ARNP)
(502) 544-8704
Entity
Organization
Contact information
Practice address
111 COAKLEY LN, SMITHFIELD, KY 40068
(502) 544-8704
Mailing address
111 COAKLEY LN, SMITHFIELD, KY 40068
(502) 544-8704
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5450P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100075620
—
KY
Enumeration date
02/02/2010
Last updated
10/10/2011
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