Individual
ADDISYN QUINN LUCAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7617 UPPER JOHNS CREEK RD, PHELPS, KY 41553-8775
(606) 835-9333
(606) 835-9997
Mailing address
7617 UPPER JOHNS CREEK RD, PHELPS, KY 41553-8775
(606) 835-9333
(606) 835-9997
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1167888
KY
363L00000X
Nurse Practitioner
Primary
4053768
KY
Other
Enumeration date
03/05/2026
Last updated
03/10/2026
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