Individual
NICOLE EVELYN BISHOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
416 DELMAR PL, COVINGTON, KY 41014-1421
(859) 760-8881
Mailing address
416 DELMAR PL, COVINGTON, KY 41014-1421
(859) 760-8881
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
G01-509-809
KY
Other
Enumeration date
07/26/2023
Last updated
07/26/2023
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