Individual
LATISHA ANN POPPLEWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
153 DOWELL RD, RUSSELL SPRINGS, KY 42642-4579
(270) 866-4141
(270) 866-4140
Mailing address
PO BOX 1610, RUSSELL SPRINGS, KY 42642-1610
(270) 866-4141
(270) 866-4140
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016288
KY
Other
Enumeration date
06/23/2021
Last updated
06/23/2021
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