Individual
REBECCA ELIZABETH DYDYNSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
60 MACK WALTERS RD, SHELBYVILLE, KY 40065-1738
(502) 633-4622
(502) 633-6925
Mailing address
6801 DIXIE HWY, SUITE 130, LOUISVILLE, KY 40258-3913
(502) 633-4622
(502) 633-6925
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3007020
KY
363LF0000X
Family Nurse Practitioner
3007020
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100192450
—
KY
Enumeration date
07/19/2011
Last updated
03/15/2012
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