Individual
MARY LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1739 CANTON ST, HOPKINSVILLE, KY 42240-1991
(270) 881-1411
(270) 886-6005
Mailing address
1739 CANTON ST, HOPKINSVILLE, KY 42240-1991
(270) 881-1411
(270) 886-6008
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3014765
KY
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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