Individual
DR. DANA KAREN NORTHERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1405 NASHVILLE ST, RUSSELLVILLE, KY 42276-8850
(270) 725-9606
(270) 725-9643
Mailing address
PO BOX 729, RUSSELLVILLE, KY 42276-0729
(270) 725-9606
(270) 725-9643
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
KY21468
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000068666
KENTUCKY BLUE CROSS
KY
05
—
64214687
—
KY
Enumeration date
07/01/2005
Last updated
10/29/2007
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