Dugger, Kermit L.

Dugger, Kermit L. is an individual health care provider with primary practice located at 1497 W Elk Ave Suite 11, Elizabethton TN 37643-2895. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Dugger, Kermit L. can be contacted via phone (423) 542-8929.

Contact Information

Primary practice address
1497 W Elk Ave Suite 11 Elizabethton TN 37643-2895
Phone: (423) 542-8929
Fax: (423) 542-8621
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024169795 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X APN0000007383 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7383 Tennessee

Profile Details

NPI number 1043370687
LBN Legal business name Dugger, Kermit L.
Credentials FNP, PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Mar 15th, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043370687 NPPES
Virginia MEDICAID 1043370687
Virginia MEDICAID 3343836

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