Individual
MRS. DENITA K MCDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
200 BELMONT AVE, SOMERSET, KY 42501
(606) 687-2038
(606) 200-3654
Mailing address
PO BOX 3044, WEST SOMERSET, KY 42564-3044
(606) 687-2038
(606) 200-3654
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
3833P
KY
363LF0000X
Family Nurse Practitioner
Primary
3833P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
78009321
—
KY
Enumeration date
03/08/2006
Last updated
05/28/2020
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