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Individual

DR. ERICA LYNN COURTNEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1325 N RACE ST, GLASGOW, KY 42141-3427
(270) 651-4797
(270) 651-4818
Mailing address
6675 HOLMES RD, STE 360, KANSAS CITY, MO 64131-1150
(816) 276-7600
(816) 276-7992

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2012035755
MO
207Q00000X
Family Medicine Physician
Primary
53005
KY
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100627440
KY
01
K308770
MEDICARE
KY
01
K308771
MEDICARE
KY
Enumeration date
05/22/2009
Last updated
04/03/2023
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