Individual
JOHN SUBLETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4359 SCOTLAND DR, OWENSBORO, KY 42303-2726
(270) 314-9538
Mailing address
4359 SCOTLAND DR, OWENSBORO, KY 42303-2726
(270) 314-9538
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3002820
KY
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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