Individual
GLADYS JEPKOGEI KIPSANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
200 BRULE ST BLDG 871, FORT KNOX, KY 40121-6100
(502) 626-9641
Mailing address
152 S CEDAR AVE, FORT KNOX, KY 40121-3161
(806) 466-4188
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
29521
TN
363LF0000X
Family Nurse Practitioner
Primary
3016080
KY
Other
Enumeration date
06/23/2021
Last updated
12/01/2023
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