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1689710899
GREGORY D KINGSTON
PADUCAH, KY
NPI
1689710899
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: KY 3002602)
Enumeration Date
2007-01-29
Last Update Date
2020-01-03
Business Address
GREGORY D KINGSTON APRN
125 S 20TH ST
PADUCAH, KY 42001-7100
Phone number: 270-575-3247
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Mailing Address
GREGORY D KINGSTON APRN
117 S 2ND ST PO BOX 497
AUGUSTA, AR 72006-2309
Phone number: 870-347-2534
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