Ginkgo Garden INC
NPI #1356429542 in Grand Rivers, Kentucky
Provider Information
- NPI Number
- 1356429542
- Entity Type
- Organization
- Organization Name
- Ginkgo Garden INC
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Nov 2, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 462 BARKLEY DR
- City
- Grand Rivers
- State
- Kentucky
- ZIP Code
- 42045
- Phone
- (270) 362-5009
Authorized Official
- Name
- MARY COUILLARD, PHD ARNP
- Title
- OWNER
- Phone
- (270) 362-5009
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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