Individual
GINGER CONN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
895 N MAIN ST, MONTICELLO, KY 42633-1580
(606) 396-3006
(606) 396-3007
Mailing address
PO BOX 1258, WAYNESBORO, TN 38485-1258
(931) 253-1110
(931) 722-9919
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3012423
KY
Other
Enumeration date
08/01/2018
Last updated
08/01/2018
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