Revive Ministries Inc

Specialty details in registry · Nicholasville, KY

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At a glance

111 Coconut Grove Drive, Nicholasville, KY 40356-2321

NPPES record updated Nov 23, 2022. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

111 Coconut Grove Drive
Nicholasville, KY 40356-2321
Professional details: NPI, taxonomy & registry record
NPI1063909067
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
101YA0400X
Enumeration date
Apr 16, 2018
Record updated
Nov 23, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

101YA0400X · Primary

Specialty details in registry

324500000X

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

111 Coconut Grove Drive
Nicholasville, KY 40356-2321
Phone
(859) 881-4505
Fax
(859) 241-1483
Mailing address
800 S MAIN STREET
SUITE C
NICHOLASVILLE, KY 403561868
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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