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Individual

BRIDGET DENISE THACKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3911 N MAYO TRL, PIKEVILLE, KY 41501-3202
(833) 510-4357
Mailing address
4600 MONTGOMERY RD STE 400, CINCINNATI, OH 45212-2600

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
2050381
KY

Other

Enumeration date
04/04/2023
Last updated
04/23/2025
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