Larry Wayne Childers
NPI #1588553283 in Cumberland, Kentucky
Provider Information
- NPI Number
- 1588553283
- Entity Type
- Individual
- Name
- Larry Wayne Childers
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Jun 30, 2025
- Last Updated
- Jun 30, 2025
Practice Location
- Address
- 107 ELDRIDGE RD
- City
- Cumberland
- State
- Kentucky
- ZIP Code
- 40823-1240
- Phone
- (606) 369-1717
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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