Organization
CARRICO CONGLETON FAMILY PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDY A CARRICO APRN (OWNER)
(270) 215-0234
Entity
Organization
Contact information
Practice address
2811 NEW HARTFORD ROAD, SUITE B, OWENSBORO, KY 42303-1320
(270) 215-0234
(270) 215-0316
Mailing address
2811 NEW HARTFORD RD STE B, OWENSBORO, KY 42303-1384
(270) 215-0234
(270) 215-0316
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/04/2011
Last updated
02/21/2019
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