JAMES RICHARD VAN HISE

EDGEWOOD, KY
NPI1881085983
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: KY  3009222)
Enumeration Date2015-02-10
Last Update Date2015-02-16
Business Address
Mr. JAMES RICHARD VAN HISE ARPN
483 S LOOP RD
EDGEWOOD, KY 41017-5446
Phone number: 859-301-4600
Mailing Address
Mr. JAMES RICHARD VAN HISE ARPN
483 S LOOP RD
EDGEWOOD, KY 41017-5446
Phone number: 859-301-4600
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