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Individual

VINNA R DENISON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
320 NORTH DR, HOPKINSVILLE, KY 42240-1806
(270) 707-0303
(270) 707-0808
Mailing address
320 NORTH DR, HOPKINSVILLE, KY 42240-1806
(270) 707-0303
(270) 707-0808

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21459
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000246447
ANTHEM BCBS
KY
01
080189899
RAILROAD MEDICARE
05
64214596
KY
Enumeration date
04/17/2006
Last updated
01/17/2017
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