Individual
KELLY C. PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
950 MAIN ST, MUNFORDVILLE, KY 42765
(270) 524-1201
(270) 506-5972
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 524-1201
(270) 506-5972
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3012410
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100592940
—
KY
Enumeration date
06/12/2018
Last updated
11/19/2019
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