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830 Thomas More Pkwy Ste 203 Edgewood KY 41017-5102 | |
| (859) 341-5757 | |
| (859) 331-4757 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 830 Thomas More Pkwy, Edgewood, Kentucky |
| Authorized Official Name and Position | Gregory P Weckenbrock (PARTNER) |
| Authorized Official Contact | 8593415757 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
830 Thomas More Pkwy Ste 203 Edgewood KY 41017-5102 Ph: (859) 341-5757 | 830 Thomas More Pkwy Ste 203 Edgewood KY 41017-5102 Ph: (859) 341-5757 |
| NPI Number | 1952334054 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 09/21/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952334054 | NPI | - | NPPES |
| 65944027 | Medicaid | KY | |
| 2622871 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Infectious Disease Consultants Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 20 Medical Village Dr, Suite 355, Edgewood, KY 41017 Phone: 859-344-1512 Fax: 859-331-3698 | |
Alternative And Integrative Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Medical Village Dr, Edgewood, KY 41017 Phone: 859-341-2044 | |