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Individual

MARY VIRGINIA ELLINGTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
1871 US41A SOUTH, DIXON, KY 42409
(270) 543-6372
(270) 440-2109
Mailing address
1871 US HIGHWAY 41A S, DIXON, KY 42409-9448
(270) 249-6037
(270) 440-0007

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3016526
KY

Other

Enumeration date
08/17/2021
Last updated
01/07/2025
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