Individual
CARMELA MACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
901 MILL VIEW CT, HOPKINSVILLE, KY 42240-5251
(270) 875-1395
Mailing address
901 MILL VIEW CT, HOPKINSVILLE, KY 42240-5251
(270) 875-1395
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3017267
KY
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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