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Individual
MRS. JUDY ANN CARRICO
Active
Individual
MRS. JUDY ANN CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ARNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3004143
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000514471
BC/BS OF KY
KY
05
—
7100049110
—
KY
Enumeration date
11/09/2005
Last updated
07/21/2022
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