Individual
ADA LYNN BOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3449 LEGACY RUN # B, OWENSBORO, KY 42301-5898
(270) 222-2598
Mailing address
3449 LEGACY RUN # B, OWENSBORO, KY 42301-5898
(270) 222-2598
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
R3617
KY
Other
Enumeration date
06/02/2008
Last updated
06/02/2008
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