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Individual

KATHLEEN M. EBBITT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
740 S LIMESTONE ST, LEXINGTON, KY 40536-2701
(859) 218-1632
(859) 257-7799
Mailing address
1221 S BROADWAY, LEXINGTON, KY 40504-2701
(859) 258-4450
(859) 258-4039

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3010575
KY
363LF0000X
Family Nurse Practitioner
Primary
3010575
KY

Other

Enumeration date
10/20/2016
Last updated
03/06/2018
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