Individual
DR. AUDREY ANN NARDUCCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
110 METKER TRL, STANFORD, KY 40484-1020
(606) 365-3360
Mailing address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 239-1000
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
3589806
OH
208600000X
Surgery Physician
Primary
39020
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000090713
BLUE CROSS BLUE SHIELD
KY
01
—
01043288
LICENSE
IN
05
—
100468550A
—
IN
01
—
1218092
CHA
KY
05
—
2764521
—
OH
01
—
351942907
HUMANA
KY
01
—
39020
LICENSE
KY
05
—
64094220
—
KY
Enumeration date
02/08/2007
Last updated
08/19/2013
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