CHARITY DOUGLAS

CORBIN, KY
NPI1265904890
Former NameCHARITY MOSES
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3013049)
Enumeration Date2018-12-20
Last Update Date2019-01-23
Business Address
CHARITY DOUGLAS
45 MOONBOW PLZ
CORBIN, KY 40701-8949
Phone number: 606-523-9010
Mailing Address
CHARITY DOUGLAS
PO BOX 1325
CORBIN, KY 40702-1325
Phone number: 606-523-9010