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Individual
THERESA KAYE PEEK
Active
Individual
THERESA KAYE PEEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1100233
KY
363LF0000X
Family Nurse Practitioner
Primary
3006685
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000745187
ANTHEM
KY
05
—
7100184940
—
KY
Enumeration date
12/06/2010
Last updated
03/11/2013
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