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Individual

KRISTIN DOSSETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 CLINIC DR, HOPKINSVILLE, KY 42240-4991
(270) 707-3300
Mailing address
200 CLINIC DR, MADISONVILLE, KY 42431-1661

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
0000015393
TN
363LF0000X
Family Nurse Practitioner
Primary
3006949
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000722013
BCBS MADISONVILLE WALMART
01
3006949
KY LIC
KY
01
P00979904
RR MEDICARE
KY
01
P01267653
RAILROAD MEDICARE
KY
Enumeration date
12/20/2010
Last updated
01/08/2015
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