Individual
TERRY L ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
CLINIC #6205, 10490 SHELBYVILLE ROAD, LOUISVILLE, KY 40223
(502) 245-8853
Mailing address
4201 DELLAFAY DR, LOUISVILLE, KY 40219-5921
(502) 533-3994
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3014899
KY
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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