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NPI Code Detail

MEDICARE: GINA MARIE DABNEY ARNP

MEDICARE: GINA MARIE DABNEY ARNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363L00000XNurse Practitioner300351KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11228208OTHERCHA HHC
2000000359189OTHERBCBS HHC
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
47274663OTHERAETNA

General Provider Information

NPI Number : 1467420364
Entity Type Code : Individual
Provider Name (Legal Business Name) : GINA MARIE DABNEY ARNP
Provider Business Mailing Address
First Line : 1010 MAIN ST S
Second Line :
City : MC KEE
State : KY
Zip : 40447-7089
Country : US
Telephone Number : 606-287-7104
Fax Number : 606-287-4409
Provider Business Practice Location Address
First Line : 1010 MAIN ST S
Second Line :
City : MC KEE
State : KY
Zip : 40447-7089
Country : US
Telephone Number : 606-287-7104
Fax Number : 606-287-4409
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2006
Last Update Date : 12/03/2019

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