Individual
MRS. OLIVIA ROSE HOUCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1006 NEW MOODY LN, LA GRANGE, KY 40031-9122
(502) 222-0008
(502) 222-0029
Mailing address
1006 NEW MOODY LN, LA GRANGE, KY 40031-9122
(502) 222-0008
(502) 222-0029
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
TC503
KY
Other
Enumeration date
09/07/2016
Last updated
08/02/2018
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