Individual
MRS. TRACY M SKAGGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
231 E CHESTNUT ST, LOUISVILLE, KY 40202-1821
(502) 629-3755
Mailing address
3911 FOREST CREST WAY, LOUISVILLE, KY 40245-7494
(502) 749-9808
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007698
KY
Other
Enumeration date
11/27/2013
Last updated
11/27/2013
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