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Organization
KAREN EASTRIDGE LLC
Active
Organization
KAREN EASTRIDGE LLC
Active
Other names
Diabetes Wellness and Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN EASTRIDGE NPC, CDE (OWNER-PRACTIONER)
(502) 415-2828
Entity
Organization
Contact information
Practice address
1553 HIGHWAY 44 E STE 2, SHEPHERDSVILLE, KY 40165-7183
(502) 921-0055
(502) 805-0056
Mailing address
1553 HIGHWAY 44 E STE 2, SHEPHERDSVILLE, KY 40165-7183
(502) 921-0055
(502) 805-0056
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3658P
KY
Other
Enumeration date
05/09/2007
Last updated
11/01/2007
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