Gabbard, Angela R

Gabbard, Angela R is an individual health care provider with primary practice located at 650 High St , Danville KY 40422-1235. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Gabbard, Angela R can be contacted via phone (859) 253-1686.

Contact Information

Primary practice address
650 High St Danville KY 40422-1235
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1679613731
LBN Legal business name Gabbard, Angela R
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2007
Last updated Jul 9th, 2007 - about 17 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 1679613731 NPPES
Kentucky MEDICAID 30615058

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