Individual
ELSIE MOORE SELBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 239-2379
(859) 239-6898
Mailing address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 239-2379
(859) 239-6898
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4307S
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78012796
—
KY
Enumeration date
10/23/2006
Last updated
07/08/2007
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