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Individual

DR. ELIZABETH D. SEBREE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2409 RING RD, SUITE 101, ELIZABETHTOWN, KY 42701-5933
(270) 234-8499
(270) 234-0758
Mailing address
2409 RING RD, SUITE 101, ELIZABETHTOWN, KY 42701-5933
(270) 234-8499
(270) 234-0758

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34990
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000077817
ANTHEM BCBS
01
1093999
PASSPORT
KY
01
1212179
CHA
01
2435980000
PASSPORT ADVANTAGE
KY
05
64349905
KY
Enumeration date
11/01/2006
Last updated
07/23/2015
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