Individual
MRS. TRACY KNUTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1704 N DIXIE HWY # 913, ELIZABETHTOWN, KY 42701-9449
(270) 737-1212
Mailing address
2549 SPRINGFIELD RD, ELIZABETHTOWN, KY 42701-6708
(270) 401-7391
Taxonomy
Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
Primary
R4676
KY
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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