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Individual

MRS. SONIA E PROUDFOOT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
166 HOSPITAL STREET, MONTICELLO, KY 42633-2416
(606) 348-9343
(606) 340-3258
Mailing address
166 HOSPITAL STREET, MONTICELLO, KY 42633-2416
(606) 348-9343
(606) 340-3258

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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