Individual
RICKY LEE MILLS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
Mailing address
125 S MAIN CROSS ST, LOUISA, KY 41230-1065
(606) 639-0938
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
1133395
KY
Other
Enumeration date
03/19/2021
Last updated
03/19/2021
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