Healthcare Provider Details

I. General information

NPI: 1992635247
Provider Name (Legal Business Name): LAURA CATHERINE COMBS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 COMMERCE DR
LANCASTER KY
40444-9766
US

IV. Provider business mailing address

676 PARKER RD
EUBANK KY
42567-8739
US

V. Phone/Fax

Practice location:
  • Phone: 859-792-1420
  • Fax:
Mailing address:
  • Phone: 859-613-3339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1163268
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: