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Individual
DR. TRACY DWIGHT EELLS
Active
Individual
DR. TRACY DWIGHT EELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
KY00839
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
402278
TRICARE
KY
Enumeration date
02/02/2006
Last updated
01/14/2019
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