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Mrs. Tracy Knutson
Military Health Care Provider in Elizabethtown, Kentucky
NPI 1225457252

Tracy Knutson is a Military Health Care Provider based in Elizabethtown, KY. Tracy Knutson practices in Elizabethtown, KY. The NPI Number for Tracy Knutson is 1225457252 and holds a License No. R4676 (Kentucky).

The current practice location address for Tracy Knutson is 1704 N Dixie Hwy # 913, Elizabethtown, KY and can be reached out via phone at 270-737-1212.

Location: 1704 N Dixie Hwy # 913, Elizabethtown, KY, 42701-6708
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1225457252
Provider Name
Tracy Knutson
Credential
Provider Entity Type
Individual
Gender
Female
Address
1704 N Dixie Hwy # 913, Elizabethtown, KY, 42701-6708
Phone Number
270-737-1212
Fax Number
Provider Enumeration Date
04/07/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1704 N Dixie Hwy # 913
City
Elizabethtown
State
Kentucky
Zip
42701-9449
Phone Number
270-737-1212
Fax Number
person
Provider Business Mailing Address Details
Address
1704 N Dixie Hwy # 913
City
Elizabethtown
State
Kentucky
Zip
42701-9449
Phone Number
270-737-1212
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Military Health Care Provider
Speciality
-
Taxonomy
171000000X
License No.
R4676 (Kentucky)
Definition
Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.
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