Provider Demographics
NPI:1932644093
Name:MUNCY, PATIENCE TARENLENEA
Entity Type:Individual
Prefix:MISS
First Name:PATIENCE
Middle Name:TARENLENEA
Last Name:MUNCY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2135 HIGHWAY 1185
Mailing Address - Street 2:
Mailing Address - City:LOUISA
Mailing Address - State:KY
Mailing Address - Zip Code:41230-7968
Mailing Address - Country:US
Mailing Address - Phone:606-686-3388
Mailing Address - Fax:
Practice Address - Street 1:2135 HIGHWAY 1185
Practice Address - Street 2:
Practice Address - City:LOUISA
Practice Address - State:KY
Practice Address - Zip Code:41230-7968
Practice Address - Country:US
Practice Address - Phone:606-686-3388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-12-28
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist