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Individual

GINA DIANA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
911 BYPASS ROAD, 5TH FLOOR ELLIOTT BUILDING, PIKEVILLE, KY 41501-1689
(606) 218-2217
(606) 218-4944
Mailing address
PO BOX 432, PIKEVILLE, KY 41502-0432
(606) 218-4762
(606) 218-4562

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
10562393594P
KY
363LA2200X
Adult Health Nurse Practitioner
Primary
3003594
KY

Other

Enumeration date
10/05/2006
Last updated
10/04/2019
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