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Hospitalist Medicine Physicians Of Kentucky - Berea, Psc

Internal Medicine in Cynthiana, KY. Organization (NPI-2).

NPI number1003664574
StatusActive
Last updated in NPPESMay 14, 2024

Details

NPI
1003664574
Entity type
Organization (NPI-2)
Legal business name
Hospitalist Medicine Physicians Of Kentucky - Berea, Psc
Organization subpart
No
Enumeration date
May 9, 2024
Certification date
May 14, 2024
Last updated
May 14, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes

Practice location

1210 Ky Highway 36 E Unit 1
Cynthiana, KY 41031-7665

Phone 615-377-5658

Mailing address

5410 Maryland Way Ste 300
Brentwood, TN 37027-5339

Phone 615-377-5658

Authorized official

Shannon Lagrone
Director Payer Enrollment
2144225715

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