Organization
ELIZABETHTOWN PHYSICIANS FOR WOMEN,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY RICHARDSON (OFFICE MANAGER)
(270) 769-5963
Entity
Organization
Contact information
Practice address
1115 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 769-5963
(270) 769-9051
Mailing address
1115 WOODLAND DR, ELIZABETHTOWN, KY 42701-2749
(270) 769-5963
(270) 769-9051
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
5052P
KY
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
1802M
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100027580
—
KY
Enumeration date
09/06/2006
Last updated
06/16/2010
Update your record
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