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Individual

ADAM DWIGHT CULBERTSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
APRN

Contact information

Practice address
1154A LEXINGTON RD, GEORGETOWN, KY 40324-9330
(513) 834-7063
Mailing address
615 ELSINORE PL STE 200, CINCINNATI, OH 45202-1459
(513) 834-7063

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3005663
KY
363LF0000X
Family Nurse Practitioner
Primary
3005663
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7100052760
KY
Enumeration date
06/17/2008
Last updated
07/22/2022
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