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Individual

DAVID LAWRENCE BICKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSN, APRN, FNP-C

Contact information

Practice address
613 23RD ST STE 520, ASHLAND, KY 41101-2878
(606) 326-1675
Mailing address
PO BOX 2379, ASHLAND, KY 41105-2379
(606) 408-6200
(606) 408-6212

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4006228
KY
363LF0000X
Family Nurse Practitioner
Primary
4006228
KY

Other

Enumeration date
06/26/2023
Last updated
01/19/2024
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