Individual
CONNIE J PATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
4305 NEW SHEPHERDSVILLE RD, BARDSTOWN, KY 40004-9019
(502) 350-5000
(502) 350-5022
Mailing address
1270 OLD NAZARETH RD, BARDSTOWN, KY 40004-9475
(502) 348-5746
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3608P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000388646
ANTHEM
—
01
—
3608P
LICENSE
KY
05
—
78006558
—
KY
Enumeration date
06/08/2006
Last updated
07/26/2007
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