Individual
OLIVIA N GARY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9321 FOUNTAIN RUN RD, FOUNTAIN RUN, KY 42133-8624
(270) 579-6954
Mailing address
9321 FOUNTAIN RUN RD, FOUNTAIN RUN, KY 42133-8624
(270) 579-6954
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014902
KY
Other
Enumeration date
09/05/2020
Last updated
09/05/2020
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