Most Relevant Information
Provider Data
| NPI Number: | 1003399957 |
| Provider Name: | MICHELLE LYNN PEVLEY |
| Entity Type: | Individual |
| Taxonomy Code: | 171M00000X |
| Specialty: | Case Manager/Care Coordinator |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/06/2018 |
| Last Updated: | 09/06/2018 |
Provider Practice Location
223A E SHOWALTER DR
GEORGETOWN
KY
403242012
Practice Location Phone/Fax
| Phone: | 8592305572 |
| Fax: |
Provider Mailing Location
223A E SHOWALTER DR
GEORGETOWN
KY
403242012
Provider Mailing Phone/Fax
| Phone: | 8592305572 |
| Fax: |