Individual
MRS. SONIA E PROUDFOOT
Active
Individual
MRS. SONIA E PROUDFOOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35830
KY
208M00000X
Hospitalist Physician
35830
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000558830
ANTHEM BC & BS
KY
05
—
64050149
—
KY
Enumeration date
07/07/2006
Last updated
11/09/2016
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