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MRS. ANGELA BUCKLES THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
1009 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2521
(270) 737-0678
(270) 769-1535
Mailing address
1009 N DIXIE AVE, ELIZABETHTOWN, KY 42701-2521
(270) 737-0678

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3006666
KY
364SA2200X
Adult Health Clinical Nurse Specialist
6666S
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
6666S
ARNP REGISTRATION NUMBER
KY
05
7100270530
KY
Enumeration date
10/08/2010
Last updated
03/15/2022
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