NPI 1538675483

Aimee Medders, RDH

Practitioner Dental Hygienist Fort Knox, KY

Practice location

Address: 968 1st Infantry Division Rd Bldg 2724, Fort Knox, KY 40121-5210
Phone: (502) 626-8301
Mailing address: 398 192nd Armor Tank Battalion Rd Rm 226, Fort Knox, KY 40121-5116

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 4770 (KY)

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Registry record

NPI: 1538675483
Entity type: Individual
Sex (as registered): Female
NPI issued: 14 Dec 2017
Record last updated: 14 Dec 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.