Individual
NGA COLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
819 NEW GLENDALE ROAD, ELIZABETHTOWN, KY 42701
(502) 624-9002
Mailing address
819 NEW GLENDALE ROAD, ELIZABETHTOWN, KY 42701
(502) 624-9002
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23094
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10802821
CAQH
—
05
—
6423094900
—
KY
Enumeration date
08/20/2006
Last updated
11/07/2014
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