Internal Medicine Associates Of Ky Psc | |
2135 Highway 30 Byp Suite 1 London KY 40741-6139 | |
(606) 864-2179 | |
Not Available |
Full Name | Internal Medicine Associates Of Ky Psc |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 2135 Highway 30 Byp, London, Kentucky |
Authorized Official Name and Position | Gina Dcosta (DOCTOR) |
Authorized Official Contact | 6068642179 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Internal Medicine Associates Of Ky Psc 2135 Highway 30 Byp Suite 1 London KY 40741-6139 Ph: (606) 864-2179 | Internal Medicine Associates Of Ky Psc 2135 Highway 30 Byp Suite 1 London KY 40741-6139 Ph: (606) 864-2179 |
NPI Number | 1396774048 |
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Provider Enumeration Date | 07/02/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1396774048 | NPI | - | NPPES |
64094576 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | 39044 (Kentucky) | Primary |
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