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Individual

ZACHARY MICHAEL BROUGHTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PMHNP-BC

Contact information

Practice address
803 MEYERS BAKER RD STE 200, LONDON, KY 40741-3040
(606) 627-1540
Mailing address
PO BOX 501, BARBOURVILLE, KY 40906-0501
(606) 627-1540

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3017916
KY

Other

Enumeration date
06/19/2022
Last updated
06/19/2022
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