Individual
OLIVIA SO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
625 CHESTNUT DR, STE 106, WALTON, KY 41094-7845
(859) 485-7900
Mailing address
625 CHESTNUT DR, STE 106, WALTON, KY 41094-7845
(859) 485-7900
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3009210
KY
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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