Tracy Knutson

NPI 1225457252 - Military Health Care Provider - 171000000X

NPI Details
NPI 1225457252
Gender Female
Enumeration Date 04/07/2014
Last Updated 04/07/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
1704 N DIXIE HWY # 913
ELIZABETHTOWN KY, 42701-9449, US
Phone (270) 737-1212
Fax
Business Location
2549 SPRINGFIELD RD
ELIZABETHTOWN KY, 42701-6708, US
Phone (270) 401-7391
Fax
Toxanomy
Taxonomy Code 171000000X
License State Kentucky
License Number R4676
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According to our database, Mrs. Tracy Knutson NPI is 1225457252, taxonomy code is 171000000X and license number is R4676, license state is located at Kentucky. Tracy Knutson physically located at 1704 N Dixie Hwy # 913, Elizabethtown KY, 42701-9449. NPI Number Tracy Knutson has the Individual type.

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1225457252 NPI number is provided on an as is basis without warranty of any kind. 1225457252 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Knutson are for informational purposes only.