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1250 Keene Rd Ste 102 Nicholasville KY 40356 | |
(859) 885-9402 | |
(859) 887-1624 |
Full Name | |
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Speciality | Family Medicine |
Location | 1250 Keene Rd, Nicholasville, Kentucky |
Authorized Official Name and Position | Kandi R Rea (PHYSICIAN CREDENTIALING) |
Authorized Official Contact | 6063303404 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 73652 Cleveland OH 44193-0002 Ph: (606) 330-3404 | 1250 Keene Rd Ste 102 Nicholasville KY 40356 Ph: (859) 885-9402 |
NPI Number | 1467699249 |
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Provider Enumeration Date | 01/15/2009 |
Last Update Date | 01/15/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1467699249 | NPI | - | NPPES |
65928590 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 17955 (Kentucky) | Primary |
Kpa Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 218 Keene Manor Cir, Nicholasville, KY 40356 Phone: 718-961-3277 | |
Peter Aliu Md Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Stable Way, Nicholasville, KY 40356 Phone: 276-233-9982 Fax: 859-687-0001 |