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Individual
MR. KERMIT L. DUGGER
Active
Individual
MR. KERMIT L. DUGGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP, PMHNP
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0024169795
VA
363LF0000X
Family Nurse Practitioner
Primary
APN0000007383
TN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
7383
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1043370687
—
VA
05
—
3343836
—
TN
Enumeration date
12/12/2006
Last updated
03/15/2017
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