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1548035280
MICAH R KISHBAUGH
LOUISA, KY
NPI
1548035280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 4009314)
Enumeration Date
2023-11-22
Last Update Date
2023-11-22
Business Address
MICAH R KISHBAUGH APRN
20 MEDICAL HTS
LOUISA, KY 41230-9603
Phone number: 606-252-1640
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Mailing Address
MICAH R KISHBAUGH APRN
20 MEDICAL HTS
LOUISA, KY 41230-9603
Phone number:
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