Registry details
Type
Individual
Primary specialty
Hospitalist
Enumerated
Jun 18, 2019
License(s)
56364 (KY), 56364 (KY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | PO BOX 635283 | Cincinnati, OH 45263-5283 | 859-344-5555 |
| LOCATION | 1 MEDICAL VILLAGE DR | Edgewood, KY 41017-3403 | 859-301-8074 |
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