Individual
REBECCA HERZOG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
398 192ND ARMOR TANK BATTALION RD, BLDG 1022 ROOM 231, FORT KNOX, KY 40121-5116
(502) 624-6158
Mailing address
398 192ND ARMOR TANK BATTALION RD, BLDG 1022 ROOM 231, FORT KNOX, KY 40121-5116
(502) 624-6158
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1820
KY
Other
Enumeration date
04/06/2017
Last updated
04/06/2017
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