KEVIN ENSIGN

FORT CAMPBELL, KY
NPI1578700993
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: KY  2027601)
Enumeration Date2009-01-08
Last Update Date2009-01-08
Business Address
-- KEVIN ENSIGN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8503
Mailing Address
-- KEVIN ENSIGN
650 JOEL DR
FORT CAMPBELL, KY 42223-5318
Phone number: 270-798-8503
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