Individual
LARRY TRENT CONLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PMHNP
Contact information
Practice address
1908 N MAIN ST STE 240, HAZARD, KY 41701-2503
(606) 439-2662
Mailing address
2451 BIG BRANCH ROAD, HINDMAN, KY 41822
(606) 497-5828
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018666
KY
Other
Enumeration date
12/01/2022
Last updated
12/01/2022
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