Individual
MRS. BONITA CLOYD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
247 SEMINOLE DR, PADUCAH, KY 42001-5425
(270) 554-4546
Mailing address
247 SEMINOLE DR, PADUCAH, KY 42001-5425
(270) 554-4546
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3003111
KY
Other
Enumeration date
09/09/2013
Last updated
09/09/2013
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