Individual
MR. CHARLES LEON MAUPIN III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
209 BAYBROOK CIR, NICHOLASVILLE, KY 40356-7107
(859) 312-9503
Mailing address
209 BAYBROOK CIR, NICHOLASVILLE, KY 40356-7107
(859) 312-9503
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1146834
KY
Other
Enumeration date
09/05/2024
Last updated
09/05/2024
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