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Individual

DEBORAH A. KASICA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
350 PARK STREET, STE 203, BOWLING GREEN, KY 42101-1784
(270) 745-1467
(270) 745-1417
Mailing address
350 PARK ST, SUITE 203, BOWLING GREEN, KY 42101-1784
(270) 781-0075
(270) 718-0143

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
37147
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
64043714
KY
Enumeration date
07/28/2005
Last updated
07/08/2007
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