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Individual

MRS. CONNIE MARIE PALAKODETI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2945 SCOTTSVILLE RD, BOWLING GREEN, KY 42104-6331
(270) 783-3992
Mailing address
PO BOX 932958, CLEVELAND, OH 44193-0028

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4044151
KY
363L00000X
Nurse Practitioner
4704367140
MI
363L00000X
Nurse Practitioner
APRN.CNP.18291
OH

Other

Enumeration date
09/05/2014
Last updated
08/13/2025
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