Individual
MR. DEREK OWEN DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
106 W FRONT ST, GLASGOW, KY 42141-2804
(270) 629-2444
Mailing address
633 HAMPTON DRIVE, BOWLING GREEN, KY 42103-1639
(270) 320-0025
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
4030483
KY
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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