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1487261228
LAREE SHIVELY
CAMPBELLSVILLE, KY
NPI
1487261228
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3015305)
Enumeration Date
2020-09-25
Last Update Date
2024-02-27
Business Address
LAREE SHIVELY APRN
73 KINGSWOOD DR
CAMPBELLSVILLE, KY 42718-9604
Phone number: 270-849-2379
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Mailing Address
LAREE SHIVELY APRN
1700 OLD LEBANON RD
CAMPBELLSVILLE, KY 42718-9615
Phone number: 270-465-3561
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