Individual
RACHEL LYNN BROCK-CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
81 BALL PARK RD, HARLAN, KY 40831-1701
(606) 573-8100
Mailing address
120 COUNTY PIKE, HARLAN, KY 40831-7023
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1118656
KY
363L00000X
Nurse Practitioner
3012818
KY
363LF0000X
Family Nurse Practitioner
Primary
3012818
KY
Other
Enumeration date
04/25/2018
Last updated
11/08/2018
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