| Elysian Wellness Pllc | |
|
1690 Highway 192 W London KY 40741-1673 | |
| (606) 877-5277 | |
| Not Available |
| Full Name | Elysian Wellness Pllc |
|---|---|
| Speciality | Clinic/center |
| Location | 1690 Highway 192 W, London, Kentucky |
| Authorized Official Name and Position | Gregg K Arena (PRESIDENT) |
| Authorized Official Contact | 6068775277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elysian Wellness Pllc 1690 Highway 192 W London KY 40741-1673 Ph: (606) 877-5277 | Elysian Wellness Pllc 1690 Highway 192 W London KY 40741-1673 Ph: (606) 877-5277 |
| NPI Number | 1205087327 |
|---|---|
| Provider Enumeration Date | 10/07/2008 |
| Last Update Date | 06/27/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205087327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
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