CHARLOTTE R RADIC

LEXINGTON, KY
NPI1952792236
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367A00000X Advanced Practice Midwife
(Licence: KY  3018119)
Additional Taxonomies367A00000X Advanced Practice Midwife
(Licence: IN  09000259A)
367A00000X Advanced Practice Midwife
(Licence: TN  29843)
Enumeration Date2015-02-09
Last Update Date2024-04-29
Business Address
CHARLOTTE R RADIC CNM, APRN
800 ROSE ST
LEXINGTON, KY 40536-2619
Phone number: 859-323-5931
Mailing Address
CHARLOTTE R RADIC CNM, APRN
PO BOX 1430
PORTAGE, IN 46368-9230
Phone number: 219-763-8112