Individual
SHIRLEY DAWN METKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
44 HEALTH WAY, STANFORD, KY 40484
(606) 365-3106
(606) 365-1640
Mailing address
104 KIDSFORT TRAIL, STANFORD, KY 40484
(606) 365-3102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1071665
KY
363L00000X
Nurse Practitioner
Primary
2064P
KY
Other
Enumeration date
02/21/2007
Last updated
04/23/2013
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