Individual
MARY P FENWICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
110 S SALEM DR, BARDSTOWN, KY 40004
(502) 349-4745
(502) 348-3400
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7818
(606) 330-7825
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4707P
KY
Other
Enumeration date
02/14/2007
Last updated
07/24/2019
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