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Organization

MOTHERHOOD EXPRESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BETHANY LYNN HANSER IBCLC (OWNER)
(859) 746-2460
Entity
Organization

Contact information

Practice address
7000 HOUSTON RD, BUILDING 200 SUITE 19, FLORENCE, KY 41042-4873
(859) 746-2460
(859) 746-2238
Mailing address
7000 HOUSTON RD, BUILDING 200 SUITE 19, FLORENCE, KY 41042-4873
(859) 746-2460
(859) 746-2238

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
90000159
KY
Enumeration date
05/01/2007
Last updated
05/24/2011
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