Individual
SARAH GRACE COULTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSPT
Contact information
Practice address
337 S HARRISON ST, LEBANON, KY 40033-1150
(270) 692-3121
Mailing address
337 S HARRISON ST, LEBANON, KY 40033-1150
(270) 692-3121
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
PT-005173
KY
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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