Individual
LUCINDA BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
105 CEDAR CREEK RD, PRINCETON, KY 42445-2315
(270) 625-4744
Mailing address
PO BOX 1103, PRINCETON, KY 42445-4903
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1046124
KY
Other
Enumeration date
03/06/2023
Last updated
03/06/2023
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