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Individual
LINDA G GENTRY
Active
Individual
LINDA G GENTRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
1076608
KY
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3004767
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076608
KY BOARD OF NURSING
KY
01
—
3004767
KY BOARD OF NURSING
KY
05
—
7100080690
—
KY
Enumeration date
04/13/2006
Last updated
02/04/2022
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