| Drs O Koon & Hamburg | |
|
4122 Shelbyville Rd Suite D Louisville KY 40207-3242 | |
| (502) 897-1571 | |
| (502) 894-2270 |
| Full Name | Drs O Koon & Hamburg |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 4122 Shelbyville Rd, Louisville, Kentucky |
| Authorized Official Name and Position | Harold Elliot Hamburg (DENTIST) |
| Authorized Official Contact | 5028971571 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Drs O Koon & Hamburg 4122 Shelbyville Rd Suite D Louisville KY 40207-3242 Ph: (502) 897-1571 | Drs O Koon & Hamburg 4122 Shelbyville Rd Suite D Louisville KY 40207-3242 Ph: (502) 897-1571 |
| NPI Number | 1265590061 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265590061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 3683 (Kentucky) | Primary |
| 1223P0300X | Dentist - Periodontics | 148 (Kentucky) | Primary |
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