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Individual

JUDITH C BICKETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
550 S JACKSON ST, 1ST FLOOR, LOUISVILLE, KY 50202
(502) 562-6503
(502) 562-6504
Mailing address
501 E BROADWAY, SUITE 120, LOUISVILLE, KY 40202
(502) 562-6810
(502) 562-6777

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
421P
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78009131
KY
Enumeration date
05/10/2006
Last updated
04/15/2008
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