DAVID JONATHON WILLOUGHBY

LOUISVILLE, KY
NPI1104684398
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KY  2049631)
Enumeration Date2024-03-12
Last Update Date2024-03-12
Business Address
DAVID JONATHON WILLOUGHBY LPN
4922 POPLAR LEVEL RD
LOUISVILLE, KY 40219-1128
Phone number: 502-434-5566
Mailing Address
DAVID JONATHON WILLOUGHBY LPN
30 CARROLL AVE
EMINENCE, KY 40019-1300
Phone number: 502-706-8643