Theresa Angle, | |
267 Slickback Rd, Benton, KY 42025-7629 | |
(270) 527-1496 | |
(270) 527-5321 |
Full Name | Theresa Angle |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 267 Slickback Rd, Benton, Kentucky |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1326593666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 2024331 (Kentucky) | Primary |
Mailing Address | Practice Location Address |
---|---|
Theresa Angle, 267 Slickback Rd, Benton, KY 42025-7629 Ph: (270) 527-1496 | Theresa Angle, 267 Slickback Rd, Benton, KY 42025-7629 Ph: (270) 527-1496 |
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