GLEN R STANDAFER

FRENCHBURG, KY
NPI1669759064
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: KY  3007175)
Enumeration Date2011-11-14
Last Update Date2015-09-22
Business Address
-- GLEN R STANDAFER APRN
732 HIGHWAY 36
FRENCHBURG, KY 40322-8123
Phone number: 606-768-2191
Mailing Address
-- GLEN R STANDAFER APRN
732 HIGHWAY 36
FRENCHBURG, KY 40322-8123
Phone number: 606-768-2191