Individual
MS. KATY AYERS MARCUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
110 CONN TER, LEXINGTON, KY 40508-3206
(859) 266-2101
Mailing address
110 CONN TER, LEXINGTON, KY 40508-3206
(859) 266-2101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3013813
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3013813
PRIVATE PAYERS
KY
05
—
3013813
—
KY
Enumeration date
09/23/2019
Last updated
09/23/2019
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