1275623977 NPI number — MRS. JENNIFER HELEN DUTTON PSC

Table of content: MRS. JENNIFER HELEN DUTTON PSC (NPI 1275623977)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275623977 NPI number — MRS. JENNIFER HELEN DUTTON PSC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
DUTTON
Provider First Name:
JENNIFER
Provider Middle Name:
HELEN
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
PSC
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275623977
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
6212 DEEP CREEK CT
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PROSPECT
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40059-9344
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-290-8313
Provider Business Mailing Address Fax Number:
502-290-8305

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6212 DEEP CREEK CT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PROSPECT
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40059-9344
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-290-8313
Provider Business Practice Location Address Fax Number:
502-290-8305
Provider Enumeration Date:
10/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171M00000X , registered in the state of KY ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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