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300 W John Fitch Ave Ste 210 Bardstown KY 40004-1150 | |
(502) 348-7648 | |
(502) 348-7490 |
Full Name | |
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Speciality | Family Medicine |
Location | 300 W John Fitch Ave, Bardstown, Kentucky |
Authorized Official Name and Position | Mark A Abramovich (MD/OWNER) |
Authorized Official Contact | 5023487648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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300 W John Fitch Ave Ste 210 Bardstown KY 40004-1150 Ph: (502) 348-7648 | 300 W John Fitch Ave Ste 210 Bardstown KY 40004-1150 Ph: (502) 348-7648 |
NPI Number | 1487825519 |
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Provider Enumeration Date | 03/17/2008 |
Last Update Date | 10/01/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1487825519 | NPI | - | NPPES |
64236912 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 23691 (Kentucky) | Primary |
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