Doctor Name: | MRS. LYNNELLE CAIN |
NPI Number: | 1487746004 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | 4539P |
Business Practice Address: | 1509 Louisville Rd Harrodsburg, KY - 403308622 |
Business Phone Number: | 8597345770 |
Business Fax Number: | 8592396898 |
Mailing Address: | Po Box 990, DANVILLE |
State: | KY |
Postal Code: | 404230990 |
Phone Number: | 8592392379 |
Fax Number: | 8592396898 |
NPI Enumeration Date: | 09/29/2006 |
NPI Last Update Date: | 07/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | 4539P |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |