Individual
MOLLY ALYSSA MCCLINTOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
212 KROGER WAY, VERSAILLES, KY 40383-1991
(859) 873-9010
Mailing address
2620 ELM HILL PIKE, NASHVILLE, TN 37214-3108
(615) 425-4200
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1156395
KY
163W00000X
Registered Nurse
371251
OH
363LF0000X
Family Nurse Practitioner
Primary
3014868
KY
Other
Enumeration date
07/30/2022
Last updated
07/30/2022
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