Individual
DONNA TEEGARDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN CDE MLDE
Contact information
Practice address
429 FRANKFORT ST, BROOKSVILLE, KY 41004-8312
(606) 735-2157
(606) 735-2159
Mailing address
PO BOX 117, BROOKSVILLE, KY 41004-0117
(606) 735-2157
Taxonomy
Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
1083603
KY
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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