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Organization
UNIVERSITY OF KENTUCKY
Active
Organization
UNIVERSITY OF KENTUCKY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKI RIDDELL (ASSOC DEAN FINANCE ADMIN)
(859) 323-5935
Entity
Organization
Contact information
Practice address
UK COLLEGE OF DENTISTRY, 770 ROSE STREET, MN328, LEXINGTON, KY 40536
(859) 323-3368
(859) 257-5859
Mailing address
770 ROSE ST # D103, LEXINGTON, KY 40536-0297
(859) 323-5935
(859) 257-5859
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
10/26/2017
Last updated
11/07/2021
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