| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1346536067 | HEBERLY | ROBERT | J | 107 CRANES ROOST CT | ELIZABETHTOWN | KY | 427013650 | |
| 1093756694 | PROCTOR | ROBYN | 107 CRANES ROOST CT | ELIZABETHTOWN | KY | 427013650 | ||
| 1124343587 | THOMAS | TARA | ELAINE | 107 CRANES ROOST CT | ELIZABETHTOWN | KY | 427013650 |