| Khanos Llc | |
|
2500 W Broadway Louisville KY 40211-1081 | |
| (800) 787-2812 | |
| Not Available |
| Full Name | Khanos Llc |
|---|---|
| Speciality | Dentist |
| Location | 2500 W Broadway, Louisville, Kentucky |
| Authorized Official Name and Position | Kwane Watson (OWNER) |
| Authorized Official Contact | 5025232347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Khanos Llc 2500 W Broadway Louisville KY 40211-1081 Ph: (800) 787-2812 | Khanos Llc 2500 W Broadway Louisville KY 40211-1081 Ph: (800) 787-2812 |
| NPI Number | 1063027217 |
|---|---|
| Provider Enumeration Date | 09/14/2020 |
| Last Update Date | 09/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063027217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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