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Individual

KELLI DARLENE DUGGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
100 MALLARD CREEK RD STE 320, LOUISVILLE, KY 40207-5136
(502) 855-6125
(502) 394-1972
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101283797
VA
207Q00000X
Family Medicine Physician
Primary
52883
KY

Other

Enumeration date
03/24/2017
Last updated
11/25/2024
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