Individual
JEFFREY DALE INGRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ARNP
Contact information
Practice address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 905-3557
Mailing address
289 IRELAND AVE, IRELAND ARMY COMMUNITY HOSPITAL, FORT KNOX, KY 40121-5111
(502) 905-3557
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3004733
KY
Other
Enumeration date
01/28/2009
Last updated
11/04/2014
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