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Individual

MRS. MARGO CAITLIN PICKENS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
2955 FORT CAMPBELL BLVD, HOPKINSVILLE, KY 42240-4901
(270) 632-1548
(270) 632-1572
Mailing address
122 KEETON DR, HOPKINSVILLE, KY 42240-8756
(270) 719-1100

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3011322
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3011322
KENTUCKY APRN NURSE PRACTITIONER LICENSE
KY
01
F03170114
AANP CERTIFICATION BOARD
Enumeration date
10/01/2017
Last updated
01/16/2019
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