Organization
DIABETES CARE SOLUTIONS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIA JETT ARNP, CDE (OWNER)
(502) 349-0105
Entity
Organization
Contact information
Practice address
120 W STEPHEN FOSTER AVE, SUITE 103, BARDSTOWN, KY 40004-1465
(502) 349-0105
(502) 349-0170
Mailing address
120 W STEPHEN FOSTER AVE, SUITE 103, BARDSTOWN, KY 40004-1465
(502) 349-0105
(502) 349-0170
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
3072PKY
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00522
GROUP
KY
Enumeration date
09/18/2007
Last updated
02/22/2008
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