TREVEN BACK

LEXINGTON, KY
NPI1518646967
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  4005975)
Enumeration Date2023-07-13
Last Update Date2023-09-20
Business Address
TREVEN BACK APRN, PMHNP-BC
310 S LIMESTONE
LEXINGTON, KY 40508-3008
Phone number: 859-226-7063
Mailing Address
TREVEN BACK APRN, PMHNP-BC
411 SUMMIT ST
RICHMOND, KY 40475-2151
Phone number: 859-785-9360
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