Individual
LEEANN MCKENNA SPIVEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
512 SAFFELL ST, LAWRENCEBURG, KY 40342-1253
(502) 839-1231
(502) 227-1114
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(502) 864-1472
(270) 858-4607
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3008966
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100319130
—
KY
Enumeration date
09/04/2014
Last updated
06/15/2021
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