Etown Family Practice Plc

NPI #1922443480 in Elizabethtown, Kentucky

Provider Information

NPI Number
1922443480
Entity Type
Organization
Organization Name
Etown Family Practice Plc
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
May 9, 2013
Last Updated
Dec 2, 2014

Practice Location

Address
1239 WOODLAND DR
Address 2
SUITE 105
ZIP Code
42701-2770
Phone
(270) 900-0192

Authorized Official

Name
GWEN THOMAS, APRN
Title
APRN
Phone
(270) 900-0192

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Primary CarePrimary Care
Nurse Practitioner - FamilyFamily

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