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Organization

KAREN EASTRIDGE LLC

Active
Other names
Diabetes Wellness and Healthcare
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAREN EASTRIDGE NPC, CDE (OWNER-PRACTIONER)
(502) 415-2828
Entity
Organization

Contact information

Practice address
1553 HIGHWAY 44 E STE 2, SHEPHERDSVILLE, KY 40165-7183
(502) 921-0055
(502) 805-0056
Mailing address
1553 HIGHWAY 44 E STE 2, SHEPHERDSVILLE, KY 40165-7183
(502) 921-0055
(502) 805-0056

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
3658P
KY

Other

Enumeration date
05/09/2007
Last updated
11/01/2007
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