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Individual

LESLIE RAE CORDIAL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
98 RIVER ST, CLAY CITY, KY 40312-1314
(606) 663-7788
(606) 663-7785
Mailing address
98 RIVER ST, CLAY CITY, KY 40312-1314
(606) 663-7788
(606) 663-7785

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011552
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3011552
KENTUCKY BOARD OF NURSING LICENSURE
KY
Enumeration date
04/24/2019
Last updated
03/20/2025
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