Nga Collard Psc
Family Medicine in Elizabethtown, KY. Organization (NPI-2).
NPI number1104931336
StatusActive
Last updated in NPPESAug 20, 2007
Details
- NPI
- 1104931336
- Entity type
- Organization (NPI-2)
- Legal business name
- Nga Collard Psc
- Organization subpart
- No
- Enumeration date
- Aug 20, 2006
- Last updated
- Aug 20, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 23094 | KY | Yes |
Practice location
1239 Woodland DrSuite 105
Elizabethtown, KY 42701-2770
Phone 270-765-7676 · Fax 270-982-9222
Mailing address
1239 Woodland DrSuite 105
Elizabethtown, KY 42701-2770
Phone 270-765-7676 · Fax 270-765-3015
Authorized official
Nga Collard
Physicianowner
2707657676
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