Individual
PHYLLIS ANN HEARNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2927 STATE ROUTE 142, PHILPOT, KY 42366-9334
(618) 364-6349
Mailing address
800 ZORN AVE, LOUISVILLE, KY 40206-1433
(618) 364-6349
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
1111762
KY
Other
Enumeration date
04/25/2022
Last updated
04/25/2022
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