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Individual

CLINTON RAYHILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC, FNP-C

Contact information

Practice address
13125 EASTPOINT PARK BLVD STE 105, LOUISVILLE, KY 40223-3169
(502) 208-1330
(502) 208-1440
Mailing address
13125 EASTPOINT PARK BLVD STE 105, LOUISVILLE, KY 40223-3169
(502) 208-1330
(502) 208-1440

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010286
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3010286
KY

Other

Enumeration date
08/04/2016
Last updated
01/17/2025
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