Individual
MICAH GREENWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4371 NEW SHEPHERDSVILLE RD, BARDSTOWN, KY 40004-8040
(502) 350-1022
(502) 350-1023
Mailing address
PO BOX 936, LONDON, KY 40743-0936
(606) 330-7835
(502) 350-1023
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008513
KY
Other
Enumeration date
05/20/2014
Last updated
01/13/2025
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