Individual
MARCEL SIMO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
519 HAMPTON WAY STE 8, RICHMOND, KY 40475-8885
(859) 825-6872
(859) 201-1449
Mailing address
519 HAMPTON WAY STE 8, RICHMOND, KY 40475-8885
(859) 825-6872
(859) 201-1449
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6066P
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
3006066
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1120228
RN LICENSE NUMBER
KY
01
—
6066P
ARNP LICENSE NUMBER
KY
Enumeration date
08/06/2009
Last updated
05/17/2022
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