NPI 1871991679

Jessica Lee Donahue, RDH

Practitioner Dental Hygienist Elizabethtown, KY

Practice location

Address: 108 New Glendale Rd, Elizabethtown, KY 42701-1023
Phone: (270) 769-1601
Fax: (270) 765-7274
Mailing address: 10306 Meadowview Dr, Louisville, KY 40272-3864

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 3329 (KY)

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Registry record

NPI: 1871991679
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Dec 2014
Record last updated: 10 Dec 2014

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.