Organization
ADVANCED CLINICAL CONSULTANTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN WARE JR. NP (OWNER)
(606) 448-0693
Entity
Organization
Contact information
Practice address
24 OLD SOUTH FORK RD, KINGS MOUNTAIN, KY 40442-9702
(606) 448-0693
Mailing address
24 OLD SOUTH FORK RD, KINGS MOUNTAIN, KY 40442-9702
(606) 448-0693
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
364SH0200X
Home Health Clinical Nurse Specialist
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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