Healthcare Provider Details

I. General information

NPI: 1982965661
Provider Name (Legal Business Name): WOMEN FIRST, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2012
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4328 13TH ST
ASHLAND KY
41102-5432
US

IV. Provider business mailing address

4328 13TH ST
ASHLAND KY
41102-5432
US

V. Phone/Fax

Practice location:
  • Phone: 606-327-1160
  • Fax:
Mailing address:
  • Phone: 606-327-1160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number1065071
License Number StateKY

VIII. Authorized Official

Name: KAREN RENE BURCHETT
Title or Position: APRN, CNM
Credential: APRN, CNM
Phone: 606-327-1160