Organization
DONAVAN, PSC
Active
Other names
parkway medical clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHELLE LOUISE BROUGHTON APRN (OWNER/APRN)
(606) 627-5565
Entity
Organization
Contact information
Practice address
726 S US HIGHWAY 25E, BARBOURVILLE, KY 40906-7316
(606) 627-0525
(606) 546-4579
Mailing address
PO BOX 310, BARBOURVILLE, KY 40906-0310
(606) 627-0525
(606) 546-4579
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3006067P
KY
Other
Enumeration date
08/26/2011
Last updated
09/16/2011
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