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Individual

MRS. SUSAN SMITH RICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1219 NORTH MAIN ST, NORSWORTHY MEDICAL ASSOC., PSC, BEAVER DAM, KY 42320
(270) 274-0638
(270) 274-5600
Mailing address
1219 NORTH MAIN ST, BEAVER DAM, KY 42320
(270) 274-0638
(270) 274-5600

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3003830
KY
363L00000X
Nurse Practitioner
3830P
KY
363LF0000X
Family Nurse Practitioner
3830P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1205909330
KY
05
78008190
KY
Enumeration date
11/16/2006
Last updated
09/16/2011
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