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Tina Snodgrass Derm, Pllc
Family Nurse Practitioner in Beaver Dam, Kentucky
NPI 1619219581

Tina Snodgrass Derm, Pllc is a Family Nurse Practitioner based in Beaver Dam, KY and is specialized in Family. Tina Snodgrass Derm, Pllc practices in Beaver Dam, KY. The NPI Number for Tina Snodgrass Derm, Pllc is 1619219581 and holds a License No. 3002620 (Kentucky).

The current practice location address for Tina Snodgrass Derm, Pllc is 1219 N Main St Ste 2, Beaver Dam, KY and can be reached out via phone at 270-926-0707.

Location: 1219 N Main St Ste 2, Beaver Dam, KY, 42320-8955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619219581
Provider Name
Tina Snodgrass Derm, Pllc
Credential
Provider Entity Type
Organization
Address
1219 N Main St Ste 2, Beaver Dam, KY, 42320-8955
Phone Number
270-926-0707
Fax Number
Provider Enumeration Date
03/19/2013
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
1219 N Main St Ste 2
City
Beaver Dam
State
Kentucky
Zip
42320-8955
Phone Number
270-926-0707
Fax Number
person
Provider Business Mailing Address Details
Address
1219 N Main St Ste 2
City
Beaver Dam
State
Kentucky
Zip
42320-8955
Phone Number
270-926-0707
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
3002620 (Kentucky)
Definition
Definition to come...
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