Individual
DR. ANN N. QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1162 LEXINGTON RD, GEORGETOWN, KY 40324-9330
(502) 863-6426
Mailing address
137 BELVEDERE LN, GEORGETOWN, KY 40324-9437
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
33064
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000065120
ANTHEM BLUE CROSS
KY
01
—
1200489
UNITED HEALTH CARE
KY
01
—
5843767
AETNA
KY
01
—
611215814
BLUEGRASS FAMILY HEALTH
KY
05
—
64330640
—
KY
Enumeration date
08/31/2006
Last updated
04/16/2021
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