Healthcare Provider Details

I. General information

NPI: 1356401376
Provider Name (Legal Business Name): VONUNRUG NHC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 08/29/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1401 HARRODSBURG ROAD B299
LEXINGTON KY
40504
US

IV. Provider business mailing address

1401 HARRODSBURG ROAD B299
LEXINGTON KY
40504
US

V. Phone/Fax

Practice location:
  • Phone: 859-276-0714
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL BUTCHER
Title or Position: MD
Credential:
Phone: 859-276-0714