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Individual

ELLEN E HEDGES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP, BC, MSN

Contact information

Practice address
1011 W MAIN ST, SUITE B, PRINCETON, KY 42445-1219
(270) 365-0310
(270) 365-0480
Mailing address
1011 W MAIN ST, SUITE B, PRINCETON, KY 42445-1219
(270) 365-0310
(270) 365-0480

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
2838P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000505346
BLUE CROSS
KY
05
78028388
KY
Enumeration date
08/12/2005
Last updated
01/31/2013
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