Provider Demographics
NPI:1609954304
Name:SEBREE, ELIZABETH D (MD)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:D
Last Name:SEBREE
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2409 RING RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ELIZABETHTOWN
Mailing Address - State:KY
Mailing Address - Zip Code:42701-5933
Mailing Address - Country:US
Mailing Address - Phone:270-234-8499
Mailing Address - Fax:270-234-0758
Practice Address - Street 1:2409 RING RD
Practice Address - Street 2:SUITE 101
Practice Address - City:ELIZABETHTOWN
Practice Address - State:KY
Practice Address - Zip Code:42701-5933
Practice Address - Country:US
Practice Address - Phone:270-234-8499
Practice Address - Fax:270-234-0758
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2015-07-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY34990207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY2435980000OtherPASSPORT ADVANTAGE
KY64349905Medicaid
KY1093999OtherPASSPORT
000000077817OtherANTHEM BCBS
1212179OtherCHA
KY2435980000OtherPASSPORT ADVANTAGE
H00668Medicare UPIN