Individual
LISA KAA DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN,ARNP
Contact information
Practice address
226 HOPKINSVILLE ST, GREENVILLE, KY 42345-1214
(270) 338-6488
(270) 338-7868
Mailing address
480 HOPKINSVILLE ST, GREENVILLE, KY 42345-1124
(270) 338-5777
(270) 338-5765
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4818P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200939360
—
IN
05
—
7801777900
—
KY
Enumeration date
07/13/2006
Last updated
12/20/2019
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