Individual
KIRSTIE FUGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1351 NEWTOWN PIKE, BLUEGRASS REGIONAL MH/MR BOARD, LEXINGTON, KY 40511
(859) 253-1686
(859) 254-2743
Mailing address
1351 NEWTOWN PIKE, BLUEGRASS REGIONAL MH/MR BOARD, LEXINGTON, KY 40511
(859) 253-1686
(859) 254-2743
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790731081
—
KY
Enumeration date
07/07/2010
Last updated
10/15/2010
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