Individual
KENDRA DENISE SUBLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, APRN, FNP-C
Contact information
Practice address
125 KINGSWOOD DR, CAMPBELLSVILLE, KY 42718-9634
(270) 789-1112
(270) 789-6176
Mailing address
1698 OLD LEBANON RD, CAMPBELLSVILLE, KY 42718-3319
(270) 789-6087
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
3018315
KY
363LF0000X
Family Nurse Practitioner
Primary
3018315
KY
Other
Enumeration date
09/07/2022
Last updated
01/02/2024
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