Individual
CHARLES R TETER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3277
(859) 278-4869
(859) 296-0362
Mailing address
1733 HARRODSBURG RD, LEXINGTON, KY 40504-3277
(859) 278-4869
(859) 296-0362
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002913
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100041670
—
KY
Enumeration date
01/03/2008
Last updated
03/10/2022
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