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Individual

BEVERLY VANCE DOBNER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
4 PHYSICIANS PARK, FRANKFORT, KY 40601-4181
(502) 223-8400
(502) 875-3073
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1032028
KY
363LP0200X
Pediatric Nurse Practitioner
Primary
3002674
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
201076430
IN
05
78026747
KY
Enumeration date
07/18/2005
Last updated
02/15/2017
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