OrganizationActive
Advanced Clinical Consultants PLLC
NPI 1609570563 · Family Nurse Practitioner · Kings Mountain, KY
Provider details
- NPI number
- 1609570563
- Entity type
- Organization
- Primary specialty
- Family Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Glen Ware, Owner(606) 448-0693
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Home Health Clinical Nurse Specialist364SH0200X
Physician Assistants & Advanced Practice Nursing Providers
Practice location
24 Old South Fork Rd
Kings Mountain, KY 40442-9702
Phone: (606) 448-0693
Approximate (ZIP-level) locationGet directions
Mailing address
24 Old South Fork Rd
Kings Mountain, KY 40442-9702
Registry dates
- Enumerated
- 2023-03-27
- Last updated
- 2023-03-27
- Certified
- 2023-03-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.