LARRY WAYNE CHILDERS

CUMBERLAND, KY
NPI1588553283
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: KY  4042781)
Enumeration Date2025-06-30
Last Update Date2025-06-30
Business Address
LARRY WAYNE CHILDERS
107 ELDRIDGE RD
CUMBERLAND, KY 40823-1240
Phone number: 606-369-1717
Mailing Address
LARRY WAYNE CHILDERS
107 ELDRIDGE RD
CUMBERLAND, KY 40823-1240
Phone number: 606-369-1717