Individual
REBECCA ALDRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN,BSN,MSBC
Contact information
Practice address
108 NEW GLENDALE RD, ELIZABETHTOWN, KY 42701-1023
(270) 737-5921
Mailing address
108 NEW GLENDALE RD, ELIZABETHTOWN, KY 42701-1023
(270) 769-1601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61-1010363
EARLY INTERVENTION
KY
Enumeration date
01/31/2019
Last updated
01/31/2019
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