| |
413 S Loop Rd Edgewood KY 41017-5446 | |
(859) 301-3800 | |
(859) 301-3987 |
Full Name | |
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Speciality | Family Medicine |
Location | 413 S Loop Rd, Edgewood, Kentucky |
Authorized Official Name and Position | Timothy Gramann (DIRECTOR FAMILY PRACTICE CENTER ADM) |
Authorized Official Contact | 8593013800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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413 S Loop Rd Edgewood KY 41017-5446 Ph: (859) 301-3800 | 413 S Loop Rd Edgewood KY 41017-5446 Ph: (859) 301-3800 |
NPI Number | 1710001185 |
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Provider Enumeration Date | 03/19/2007 |
Last Update Date | 12/29/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710001185 | NPI | - | NPPES |
65901688 | Medicaid | KY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Kentucky) | Primary |
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 | |