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Individual

MS. PAMELA R DUGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
6400 DUTCHMANS PKWY, SUITE 250, LOUISVILLE, KY 40205-3340
(502) 587-9660
(502) 540-5615
Mailing address
6400 DUTCHMANS PKWY, SUITE 250, LOUISVILLE, KY 40205-3340
(502) 587-9660
(502) 540-5615

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28140377A
IN
363LF0000X
Family Nurse Practitioner
Primary
1052299
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
193400000X
GROUP TAXONOMY
KY
05
78228608
KY
Enumeration date
06/06/2006
Last updated
08/26/2014
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