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601 Versailles Rd Frankfort KY 40601-3857 | |
| (502) 695-3946 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 601 Versailles Rd, Frankfort, Kentucky |
| Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
| Authorized Official Contact | 4074477120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | 601 Versailles Rd Frankfort KY 40601-3857 Ph: (502) 695-3946 |
| NPI Number | 1780455527 |
|---|---|
| Provider Enumeration Date | 01/10/2024 |
| Last Update Date | 08/22/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780455527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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