NPI 1588553283

Larry Wayne Childers

Practitioner Psychiatric/Mental Health Nurse Practitioner Cumberland, KY

Practice location

Address: 107 Eldridge Rd, Cumberland, KY 40823-1240
Phone: (606) 369-1717

Registered specialties

Psychiatric/Mental Health Nurse Practitioner Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP0808X Licence 4042781 (KY)

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Registry record

NPI: 1588553283
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2025
Record last updated: 30 Jun 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.