Individual
JUDY GALE NICELEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
307 HEMLOCK CIRCLE, MOUNT VERNAN, KY 40456-6502
(606) 256-9668
Mailing address
307 HEMLOCK CIRCLE, MOUNT VERNAN, KY 40456-6502
(606) 256-9668
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/02/2020
Last updated
01/02/2020
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